Controlling transfer of objects affecting optical characteristics

ABSTRACT

An implantable product such as an article, device, or system can include analyte and non-analyte containers in parts that can be operated as optical cavities. The product can also include fluidic components such as filter assemblies that control transfer of objects that affect or shift spectrum features or characteristics such as by shifting transmission mode peaks or reflection mode valleys, shifting phase, reducing maxima or contrast, or increasing intermediate intensity width such as full width half maximum (FWHM). Analyte, e.g. glucose molecules, can be predominantly included in a set of objects that transfer more rapidly into the analyte container than other objects, and can have a negligible or zero rate of transfer into the non-analyte container; objects that transfer more rapidly into the non-analyte container can include objects smaller than the analyte or molecules of a set of selected types, including, e.g., sodium chloride. Output light from the containers accordingly includes information about analyte.

This application is related to the following applications, each of whichis hereby incorporated by reference in its entirety: U.S. Pat. Nos.7,358,476; 7,433,552; 7,502,123; 7,471,399; 7,936,463; 7,852,490 and7,852,490.

BACKGROUND OF THE INVENTION

The present invention relates generally to techniques involvingproduction and use of implantable articles and systems, such as toobtain information about analytes in bodily fluids. More specifically,techniques can control transfer of objects relative to containers inimplantable articles and systems.

Various implantable devices have been proposed. For example, U.S. Pat.No. 6,952,603 describes an implantable optical sensing element with abody and with a membrane mounted on the body, defining a cavity. Themembrane is permeable to analyte while impermeable to backgroundspecies. A refractive index element is positioned in the cavity. A lightsource transmits light of a first intensity onto the refractive element,and a light detector receives light of a second intensity that isreflected from the cavity. A controller device optically coupled to thedetector compares the first and second light intensities and relatesthem to analyte concentration.

It would be advantageous to have improved techniques for implantablearticles and systems, including improved techniques for controllingtransfer of objects.

SUMMARY OF THE INVENTION

The invention provides various exemplary embodiments, includingarticles, products, systems, methods, apparatus, and devices. Ingeneral, the embodiments involve control of transfer of objects inbodily fluid.

These and other features and advantages of exemplary embodiments of theinvention are described below with reference to the accompanyingdrawings.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a schematic diagram showing optical and fluidic operations ofan article that can be implanted in a body.

FIG. 2 is a graph showing exemplary rates of transfer of objects intocontainers in an article operating like that in FIG. 1.

FIG. 3 is another graph showing exemplary rates of transfer of objectsinto containers in an article operating like that in FIG. 1.

FIG. 4 is a schematic diagram of an implementation of a system that caninclude an article as in FIG. 1.

FIG. 5 is a schematic circuit diagram of an implementation of a systemwith components like that in FIG. 4.

FIG. 6 is a schematic diagram similar to FIG. 4, but with a crosssection of an optical cavity structure.

FIG. 7 is a flow chart showing operations of the analyte informationroutine in FIG. 5 as it could be implemented in a system as in FIG. 6.

FIG. 8 is a perspective view of a component that is an implementation ofan article as in FIG. 1.

FIG. 9 is a top plan view of another component that is an implementationsimilar to the optical cavity structure in FIG. 4.

FIG. 10 is a top plan view of another component that is animplementation of an article similar to that in FIG. 9.

FIG. 11 is a schematic diagram of an implementation of a system with acomponent similar to that in FIG. 9.

FIG. 12 is a schematic diagram of another implementation of a systemsimilar to that in FIG. 9.

FIG. 13 is a schematic diagram of yet another implementation of a systemwith a component similar to that in FIG. 9.

FIG. 14 is a schematic diagram of yet another implementation of a systemwith a component similar to that in FIG. 9.

FIG. 15 is a schematic diagram of another implementation of a systemwith a component similar to that in FIG. 6, but with a reflectioncomponent.

FIG. 16 is a schematic diagram of another implementation of a systemsimilar to that in FIG. 6, but sensing reflection modes.

FIG. 17 is a schematic diagram of an implementation of a system similarto that in FIG. 4, also sensing reflection modes.

FIG. 18 is a schematic diagram of components in yet anotherimplementation of a system similar to that in FIG. 6, also sensingreflection modes.

FIG. 19 is a schematic diagram of an implementation of an article thatincludes a reflection component.

FIG. 20 is a schematic diagram of another implementation of an articlewith a reflection component similar to that in FIG. 19 and with a lightsource.

FIG. 21 is a schematic diagram of another implementation of an articlewith a reflection component and a light source.

FIG. 22 is a flowchart showing operations in producing and usingimplantable products.

DETAILED DESCRIPTION

In the following detailed description, numeric values and ranges areprovided for various aspects of the implementations described. Thesevalues and ranges are to be treated as examples only, and are notintended to limit the scope of the claims. In addition, a number ofmaterials are identified as suitable for various facets of theimplementations. These materials are to be treated as exemplary, and arenot intended to limit the scope of the claims.

“Light” refers herein to electromagnetic radiation of any wavelength orfrequency; unless otherwise indicated, a specific value for lightwavelength or frequency is that of light propagating through vacuum.

The various exemplary implementations described below address problemsthat arise in obtaining information about objects such as molecules inbodily fluids, such as for diagnostic, therapeutic, or other medicalpurposes. In many contexts, information about only one type of objectsis desired, such as about presence or concentration of objects of ananalyte type; an example is monitoring or other sensing of glucose, suchas in blood or other bodily fluid.

The example of glucose monitoring has great practical significance,because intensive insulin therapy can delay and prevent the progressionof microvascular disease in the growing population of diabetic patients.In current insulin therapy techniques, hypoglycemia is the main limitingfactor in the glycemic management of insulin-treated diabeticpatients—attempts to achieve near-normal glucose levels have reportedlycaused a 3.3-fold increase in rate of severe hypoglycemia. Frequentself-monitoring of blood glucose, when integrated with intensivediabetes management, has been shown to improve glycemic control. Butpatients find it difficult to perform frequent self-monitoring withcurrently prevalent skin-prick techniques because of associated pain andinconvenience to the patient and invasion of the patient's body that maybe upsetting or offensive to others present.

To avoid the need for skin pricks, techniques have been proposed thatuse implantable structures in which glucose concentration iscontinuously sensed using an electrochemical reaction. Such techniquesare also problematic, however, because they require a wire passingthrough the skin to connect the device to a transmitter, which can causeinfection and therefore limit duration of insertion. In addition, thebody continuously reacts to an enzyme required for the electrochemicalreaction, which increases device noise. The device also has lowsensitivity at low glucose concentrations, where accurate determinationof concentration is critical to provide a warning of hypoglycemia onset.Electrochemical reaction products can poison the device reactants,limiting device lifetime.

Other techniques have been proposed in which an implantable structuresenses glucose or other objects based on optical characteristics,overcoming some of these problems. The exemplary implementationsdescribed below address problems that can arise with implantablestructures in which optical characteristics are affected by glucose orother objects in bodily fluid. In many contexts, information about onlyone type of objects is desired, such as about presence or concentrationof objects of an analyte type, while other effects interfere withaccurate sensing. It is also possible that information about more thanone types of objects is desired. In such contexts, problems can arise inobtaining information specific to one type of objects or to a smallnumber of types of objects, because of presence of other objects orother conditions such as temperature that can also affect opticalcharacteristics.

Glucose sensing illustrates these problems: Even when a sensing systemwith an implantable structure is sufficiently sensitive to measureglucose changes, it may not be sufficiently specific to be usefulbecause of several factors adversely affecting specificity. Such factorsinclude variations in concentrations of large molecules such as theblood protein Albumin; the physiological variation of Albumin isapproximately 1.5 μmol/l, accounting for a change of 1.8*10⁻⁵ in therefractive index of interstitial fluid, as reported by Khalil, O. S.,“Spectroscopic and Clinical Aspects of Noninvasive GlucoseMeasurements”, Clinical Chemistry, Vol. 45, No. 2, 1999, pp. 165-177.Such factors also include variation in electrolyte concentrations; forexample, fluctuation of NaCl concentration (1 mmol/l) results in a1.1*10⁻⁵ change in interstitial fluid refractive index, as also reportedin the above-cited article by Khalil. Such factors also includevariation caused by temperature change in index of refraction of water,which constitutes 90% of interstitial fluid; temperature change canaccount for refractive index change of 1.4*10⁻⁴/° C. in thephysiological temperature range, as can be understood from Weast, R. C.,ed., CRC Handbook of Chemistry and Physics, 51^(st) Ed., Cleveland,Ohio: CRC Press, 1971, p. E-230. In addition to variations in proteinconcentrations, in electrolyte concentrations, and in temperature ofbodily fluid, other factors could interfere with specificity of glucosesensing.

In addressing such problems, some exemplary implementations describedbelow control transfer of objects that affect optical characteristics inan implantable structure. More particularly, in an implantable structurethat includes more than one container, some implementations controltransfer of objects in bodily fluid differently for differentcontainers. For example, transfer of objects into different containersmay be controlled so that glucose is present at a higher concentrationin one container than in another, making it possible to obtainglucose-specific information by comparing optical characteristics ofdifferent containers.

Also, some exemplary implementations described below address suchproblems by obtaining additional information. For example, theadditional information might relate to electrical conductance of acontainer's contents; or the further information might relate to opticalcharacteristics of a closed reference container whose contents do notchange over time.

Although the exemplary implementations described below can be used toobtain information about analytes or other objects in human bodies, theterm “body” is used herein to refer to any living body or a part of sucha body that includes fluids, and can include non-human or evennon-animal bodies. Fluids that occur in bodies are referred to as“bodily fluids”; common examples of human bodily fluids include blood,lymph, and interstitial fluids, but there are many others.

As used herein, “to implant” a thing in a body refers to any operationthat begins with the thing outside the body and ends with the thing atleast partially inside the body. An “implantable article” or“implantable product” is therefore any article of manufacture capable ofbeing implanted in a body. An “implantable system” is a system thatincludes one or more components and that is similarly capable of beingimplanted in a body.

The term “photon” refers herein to a quantum of light, and the term“photon energy” refers herein to the energy of a photon. Light can bedescribed as having a “photon energy distribution” or, more commonly, a“spectrum”, meaning the combination of photon energies that are includedin the light; highly monochromatic light, for example, has a photonenergy distribution or spectrum with one peak energy value.

Light can also be described as provided by a “light source,” which,unless otherwise specified, refers herein to any device, component, orstructure that can provide light of the type described; examples oflight sources relevant to the below-described implementations includevarious kinds of pulsed and unpulsed lasers and laser structures, lightemitting diodes (LEDs), superluminescent LEDs (SLEDs), resonant cavityLEDs, sources of broadband light that is spectrally filtered such aswith a monochromator, and so forth. A “tunable light source” is a lightsource that provides light with a predominant photon energy that can bechanged in response to a signal or operation of some kind.

The term “laser” is used herein to mean any region, element, component,or device in which transitions between energy levels can be stimulatedto cause emission of coherent light, such as in the ultraviolet,visible, or infrared regions of the spectrum. A “laser structure” is anystructure that includes one or more lasers. A “laser cavity” is a regionof a laser in which transitions can be stimulated to cause emission.

To “propagate” light through a region or structure is to transmit orotherwise cause the light to propagate through the region or structure.The light may be referred to as “propagated light” or “propagatinglight”.

Propagating light can often be usefully characterized by direction andspeed of propagation, with direction typically illustrated by one ormore rays and with speed typically being described relative to theconstant c, also referred to as the speed of light in vacuum. Where thespeed of light in a medium M is a constant c_(M) less than c, then M hasan index of refraction n_(M)=c/c_(M).

Where light changes direction in a way that can be illustrated orapproximated as a vertex between an incoming ray and an outgoing raythat are both on one side of a surface, the change may be referred to asa “reflection”; similarly, to “reflect” light is to cause the light tochange its direction of propagation approximately at such a surface,referred to herein as a “reflection surface”. Similarly, where lightchanges direction in a way that can be illustrated or approximated as avertex between an incoming ray and an outgoing ray that are on oppositesides of a surface between two media with different indices ofrefraction, the change may be referred to as a “refraction”; similarly,to “refract” light is to cause the light to change its direction ofpropagation approximately at such a surface, referred to herein as a“refraction surface”. In many practical applications, both reflectionand refraction occur at a surface, which may be referred to herein as a“partially reflecting surface”.

Where light propagates at less than c, it may be useful to obtain an“optical distance” of propagation; for any segment of length d in whichspeed of propagation is constant ε*c, where ε=1/n_(EFF)≦1 and n_(EFF) isan effective index of refraction for the segment, optical distanceD(ε)=d/ε. An optical distance may be referred to herein as an “opticalthickness”, such as where light is propagating through a thickness ofmaterial.

To “photosense” is to sense photons, and to “photosense quantity” ofphotons is to obtain information indicating a quantity of the photons.Photons that are photosensed are sometimes referred to herein as“incident photons”. A surface at which photosensing occurs is referredto herein as a “photosensitive surface”.

A “photosensor” is used herein to refer generally to any element orcombination of elements that senses photons, whether by photosensingquantity or any other information about the photons. A photosensorcould, for example, provide an electrical signal or other signal thatindicates results of sensing, such as a signal indicating quantity ofincident photons; in general, signals from a photosensor that indicateresults of sensing are referred to herein as “sensing results”. Ifelectrical sensing events occur in a photosensor in response to incidentphotons, the photosensor may integrate or otherwise accumulate theresults of the electrical sensing events during a time period referredto herein as a “sensing period” or “sense period”.

A “range of photon energies” or an “energy range” is a range of energyvalues that photons can have. An energy range can be described, forexample, as a range of wavelengths or a range of frequencies or, inappropriate cases, by the range's central wavelength or frequency andpossibly also the range's width. A “subrange” of a range of photonenergies is a part of the range, and can be similarly described. Acentral wavelength or frequency or other value indicating a centralphoton energy of a range or subrange is sometimes referred to herein asa “central energy”, and may be obtained in various ways, such as byfinding an energy that has maximum intensity or that is another type ofcentral value such as a mean or median of the distribution of lightwithin the range or subrange.

In general, the upper and lower boundaries and widths of ranges andsubranges are approximate. To provide output photons or to photosensequantity of photons “throughout”, “within”, or “in” a range or subrangemeans to provide photons or to obtain information about quantity ofphotons that are predominantly within the range or subrange. In typicalcases, between 60-90% of the provided photons or sensed quantity ofphotons have energies within the range or subrange, but the percentagecould be lower or higher. In some applications, 90% or even 95% or moreof the provided photons or sensed quantity of photons have energieswithin the range or subrange.

Some of the photosensing implementations described herein employstructures with one or more dimensions smaller than 1 mm, and varioustechniques have been proposed for producing such structures. Inparticular, some techniques for producing such structures are referredto as “microfabrication.” Examples of microfabrication include varioustechniques for depositing materials such as growth of epitaxialmaterial, sputter deposition, evaporation techniques, platingtechniques, spin coating, printing, and other such techniques;techniques for patterning materials, such as etching or otherwiseremoving exposed regions of thin films through a photolithographicallypatterned resist layer or other patterned layer; techniques forpolishing, planarizing, or otherwise modifying exposed surfaces ofmaterials; and so forth.

In the implementations described below, structures, systems, or parts orcomponents of structures or systems may sometimes be referred to as“attached” to each other or to other structures, systems, parts, orcomponents or visa versa, and operations are performed that “attach”structures, systems, or parts or components of structures or systems toeach other or to other things or visa versa; the terms “attached”,“attach”, and related terms refer to any type of connecting that couldbe performed in the context. One type of attaching is “mounting”, whichoccurs when a first part or component is attached to a second part orcomponent that functions as a support for the first. In contrast, themore generic term “connecting” includes not only “attaching” and“mounting”, but also making other types of connections such aselectrical connections between or among devices or components ofcircuitry. A combination of one or more parts connected in any way issometimes referred to herein as a ‘structure’.

Some of the structures, elements, and components described herein aresupported on a “support structure” or “support surface”, which terms areused herein to mean a structure or a structure's surface that cansupport other structures. More specifically, a support structure couldbe a “substrate”, used herein to mean a support structure on a surfaceof which other structures can be formed or attached by microfabricationor similar processes.

The surface of a substrate or other support surface is treated herein asproviding a directional orientation as follows: A direction away fromthe surface is “up”, “over”, or “above”, while a direction toward thesurface is “down”, “under”, or “below”. The terms “upper” and “top” aretypically applied to structures, components, or surfaces disposed awayfrom the surface, while “lower” or “underlying” are applied tostructures, components, or surfaces disposed toward the surface. Ingeneral, it should be understood that the above directional orientationis arbitrary and only for ease of description, and that a supportstructure or substrate may have any appropriate orientation.

A structure may be described by its operation, such as a “supportstructure” that can operate as a support as described above; otherexamples are defined below. In addition, a structure may becharacterized by the nature of its parts or the way in which they areconnected; for example, a “layered structure” is a structure thatincludes one or more layers, and the terms “partial structure” and“substructure” refer to structures that are in turn parts of otherstructures.

Unless the context indicates otherwise, the terms “circuitry” and“circuit” are used herein to refer to structures in which one or moreelectronic components have sufficient electrical connections to operatetogether or in a related manner. In some instances, an item of circuitrycan include more than one circuit. An item of circuitry that includes a“processor” may sometimes be analyzed into “hardware” and “software”components; in this context, “software” refers to stored or transmitteddata that controls operation of the processor or that is accessed by theprocessor while operating, and “hardware” refers to components thatstore, transmit, and operate on the data. The distinction between“software” and “hardware” is not always clear-cut, however, because somecomponents share characteristics of both; also, a given softwarecomponent can often be replaced by an equivalent hardware componentwithout significantly changing operation of circuitry.

Circuitry can be described based on its operation or othercharacteristics. For example, circuitry that performs control operationsis sometimes referred to herein as “control circuitry” and circuitrythat performs processing operations is sometimes referred to herein as“processing circuitry”.

An “integrated circuit” or “IC” is a structure with electricalcomponents and connections produced by microfabrication or similarprocesses. An IC may, for example, be on or over a substrate on which itwas produced or another suitable support structure. Other componentscould be on the same support structure with an IC, such as discretephotosensors or other components produced by other types of processes.

Implementations of ICs described herein include features characterizedas “cells” (or “elements”) and “arrays”, terms that are used withrelated meanings: An “array” is an arrangement of “cells” or “elements”;unless otherwise indicated by the context, such as for a biologicalcell, the words “cell” and “element” are used interchangeably herein tomean a cell or an element of an array. An array may also includecircuitry that connects to electrical components within the cells suchas to select cells or transfer signals to or from cells, and suchcircuitry is sometimes referred to herein as “array circuitry”. Incontrast, the term “peripheral circuitry” is used herein to refer tocircuitry on the same support surface as an array and connected to itsarray circuitry but outside the array. The term “external circuitry” ismore general, including not only peripheral circuitry but also any othercircuitry that is outside a given cell or array.

An IC includes a “photosensor array” if the IC includes an array ofcells, and at least some of the cells include respective photosensors. Acell that includes a photosensor may also include “cell circuitry”, suchas circuitry that makes connections with the photosensor, that transferssignals to or from the photosensor, or that performs any other operationother than photosensing. In general, a cell's photosensor and cellcircuitry are within a bounded area of the array, an area sometimesreferred to herein as the “cell's area”. The part of a cell's area inwhich an incident photon can be photosensed is referred to herein as“sensing area”.

In an application of an IC that includes a photosensor array, circuitrythat “responds to” one or more photosensors can be any circuitry that,in operation, receives information from the photosensors about theirphotosensing results through an electrical connection. Circuitry thatresponds to a photosensor could be circuitry in the same cell as thephotosensor, or it could be array circuitry, peripheral circuitry, orother external circuitry, or it could include any suitable combinationof cell circuitry, array circuitry, peripheral circuitry, and otherexternal circuitry. Circuitry that responds to a photosensor couldemploy any suitable technique to readout photosensing results,including, for example, CCD, CMOS, or photodetector array (PDA)techniques.

An IC is or includes a “position-sensitive detector” or “PSD” if itincludes a substantially continuous photosensitive surface and itprovides electrical signals indicating a position resulting from apattern of incident light on the photosensitive surface. For example,the signals could be two currents whose normalized difference isproportional to a centroid of the incident light pattern.

FIG. 1 schematically illustrates general features of product 10, anexample of an implantable article or product that can be implemented invarious ways as described in greater detail below. As with otherexemplary implementations described below, product 10 involves acombination of parts or components. For example, product 10 includesparts 12 and 14, which could be referred to herein as first and secondparts or as analyte and non-analyte parts. In the illustratedimplementation, parts 12 and 14 are connected along dashed line 16,which can be the result of being fabricated together.

Parts 12 and 14 includes containers 20 and 22, respectively,illustratively connected in a structure that includes wall-like parts24, 26, and 28, with wall-like part 28 connecting parts 24 and 26 andbeing between containers 20 and 22. The respective boundary of each ofcontainers 20 and 22 illustratively includes one or more boundingregions through which objects in bodily fluid can transfer betweeninterior and exterior of the container, i.e. can enter and/or exit. Suchbounding regions are sometimes referred to herein as “object transferregions”, in contrast with bounding regions that are closed; a closed orsealed container would have no object transfer regions on its boundary,as illustrated below in relation to some exemplary implementations.Although object transfer regions could have any shape and could includeany appropriate structures through which objects can transfer, the neteffect of all such object transfer regions is summarized for container20 by opening 30 and for container 22 by opening 32; in exemplaryimplementations described below, containers may have any suitable numberof object transfer regions, which may include various fluidic componentsthat permit diffusion and flow of objects and perform filtering,pumping, and so forth.

Each of parts 12 and 14 is also operable as a respective optical cavity.The term “reflective optical cavity”, or simply “optical cavity” or“cavity”, refers herein to a light-transmissive region that is at leastpartially bounded by light-reflective components, with thelight-reflective components and the light-transmissive region havingcharacteristics such that a measurable portion of light within thelight-transmissive region is reflected more than once across thelight-transmissive region. An “optical cavity component” is a componentthat includes one or more optical cavities.

In the exemplary implementation of FIG. 1, each part's optical cavityoperation can arise in a respective light-transmissive region betweenlight-reflective regions (not shown) of wall-like parts 24 and 26. Therespective light-transmissive region of part 12 can include at leastpart of analyte container 20, and that of part 14 can similarly includeat least part of non-analyte container 22. Therefore product 10 includesan “optical cavity structure”, meaning a structure with parts orcomponents that can operate as an optical cavity.

In operation as optical cavities, each of parts 12 and 14 canillustratively receive input light through a surface of wall-like part24 as indicated by arrows 40 and can provide transmitted output lightthrough a surface of wall-like part 26 as indicated by arrows 42 andreflected output light through a surface of wall-like part 24 asindicated by arrows 44. The surfaces through which input light isreceived (sometimes referred to as “entry surfaces”) and through whichoutput light is transmitted or reflected (sometimes referred to as “exitsurfaces”) can, however, be somewhat arbitrary, and it may be possiblein some implementations to reverse direction of input and output lightor to have multiple entry or exit surfaces; the term “light interfacesurface” is therefore used herein as a generic term that includes any ofthese types of entry and exit surfaces.

As suggested in FIG. 1, light interface surfaces of the first and secondparts 12 and 14 can be aligned so that they can receive input light fromthe same light source (not shown) and can similarly provide output lightto the same photosensing component (not shown), whether photosensingoutput light from transmission modes or reflection modes; other possibleimplementations are described below. In general, light interactivesurfaces are “aligned” in a given application with one or both of anexternal light source and an external photosensing component if they arein approximately the same plane or other surface such that input lightfrom the application's external light source is received similarly onboth surfaces and/or output light to the application's photosensingcomponent is provided similarly from both surfaces.

Within the broad category of optical cavities, there are various morespecific types: For example, a “transmissive cavity” can operate, inresponse to input light from one or more external light sources at anentry surface, providing a transmitted portion of its output light at anexit surface different than the entry surface (a complementary,reflected portion may be provided at the entry surface); a “Fabry-Perotcavity” is a reflective optical cavity in which constructiveinterference (or positive reinforcement) occurs in one or more photonenergy subranges while destructive interference occurs in others.

A Fabry-Perot cavity or other optical cavity that can operate to provideoutput light in one or more photon energy subranges while not providingoutput light with other photon energies may be described as having oneor more “modes”, each for a respective one of the output light energysubranges; if the cavity is a transmissive cavity, modes of itstransmitted output light may be referred to as “transmission modes” andmodes of its reflected output light may be referred to as “reflectionmodes”. In the reflection spectrum, either the valley-like dips or theplateau-like reflection bands between the dips can be considered as“reflection modes”. An emitting cavity can be described as “stimulatedat” a mode by any operation that results in emission of output light inthe mode's photon energy subrange. Similarly, a transmissive cavity canbe described as “illuminated at” a mode by any operation that providesinput light that results in transmission or reflection of output lightin the mode's photon energy subrange.

In typical implementations of optical cavities, two light-reflectivecomponents have approximately parallel reflection surfaces and thelight-transmissive region is sufficiently uniform that measurementswould indicate many reflections of light within the light-transmissiveregion. Such cavities define a directional orientation as follows:Directions in which light could propagate and be reflected many timeswithin the light-transmissive region are referred to herein as“reflection directions”, and generally include a range of directionsthat are approximately perpendicular to both reflection surfaces.Directions that are approximately parallel to both reflection surfaces,on the other hand, are generally referred to herein as “lateraldirections”. In addition, the terms “in”, “inward”, or “internal”generally refer to positions, directions, and other items within ortoward the light-transmissive region between the reflection surfaces,while “out”, “outward”, and “external” refer to positions, directions,and other items outside or away from the light-transmissive region. Ingeneral, it should be understood that the above directional orientationis arbitrary and only for ease of description, and that an opticalcavity may have any appropriate orientation.

The above directional orientation does not in general apply to angle ofincidence of input light. Transmissive cavities can typically operate inresponse to incident light that is not perpendicular to entry surfacesor reflection surfaces. Light incident on a transmissive cavity's entrysurface at any angle is reflected multiple times within the cavity,producing transmission modes in accordance with the cavity's geometry.But transmission modes are affected by angle of incidence: Depending onthe type of cavity and the angle of incidence, modes can be red shiftedin comparison to perpendicular incidence; if all light enters a cavityat approximately the same angle, performance is affected only by theshifting of modes and modes are not also broadened, but performance isreduced if a cavity receives incident light distributed across a largeangular range because transmission mode structure is then averaged overmultiple angles.

The term “object” is used herein in the general sense of any thing thatcan affect an optical characteristic, whether a characteristic ofemission (e.g. radiation, fluorescence, incandescence, luminescence,etc.), scattering (e.g. reflection, deflection, diffraction, refraction,etc.), or other types of light transmission. The optical characteristicis “affected by presence of” or is simply “affected by” the object.

Examples of objects that could occur in implementations as describedbelow include droplets, small volumes of fluid, single molecules,agglomerated molecules, molecule clusters, cells, viruses, bacteria,proteins, DNA, microparticles, nanoparticles, and emulsions. A dropletor small volume of fluid may, for example, include atoms, molecules, orother particles that emit light spontaneously or in response toexcitation; a particle could be a fluorescent components of a droplet,fluorescing in response to excitation. Or a droplet may includeparticles that absorb light incident on the droplet, so that the dropletdoes not reflect or otherwise scatter the absorbed light; in this case,a particle could be an “absorbent component” of a droplet. Or a dropletmay include particles that scatter light incident on the droplet in away that depends on photon energy, so that the droplet scatters theincident light correspondingly; in this case, a particle could be a“scattering component” of a droplet. An analyte (i.e. a chemical speciesbeing investigated) in a droplet can act as a fluorescent, absorbent, orscattering component.

Some implementations as described below involve groups of objects thatare treated as interchangeable because of some shared characteristic,with such a group of objects being referred to herein as a “type” ofobjects. For example, all molecules that satisfy a criterion for beingglucose molecules can be treated as the same type of objects, i.e. thetype “glucose”. More generally, all objects that are examples of achemical species being investigated are examples of an “analyte type”.

A type of objects is “present in”, “positioned in”, or simply “in” anoptical cavity when a sufficient quantity of objects of the type are inall or some part of the cavity's light-transmissive region to have ameasurable effect on an optical characteristic of the optical cavity. Anoptical cavity provides “object-affected output light” if the opticalcavity's output light is different in some way when a type of objects ispresent in the cavity than when the type of objects is absent, with thedifference being due to the effect of the type of objects on thecavity's optical characteristics.

The graphs in FIGS. 2 and 3 illustrate and compare rates of transfer ofobjects between exterior and interior of containers 20 and 22. An object“is transferred” or “transfers” between a container's exterior andinterior if the object moves between the containers exterior andinterior by entering and/or exiting at least once. For example, theobject could be conveyed between exterior and interior by flow of abodily fluid in response pressure from a pump or other pressure source,in which cases the object may be referred to as being “carried” by thebodily fluid; or the object could be conveyed between exterior andinterior as a result of diffusion due to a concentration gradient ofobjects of its type in a bodily fluid, in which case the object may bereferred to as “diffusing” in the bodily fluid.

Various techniques can be used to control rates of transfer of objectsthat are carried or diffusing in bodily fluid, and several suchtechniques are described below. In general, control techniques can causedifferent types of objects to be transferred at different rates. Thegraphs in FIGS. 2 and 3 each illustrate a technique in which rates oftransfer are controlled differently for container 20, shown on the rightof the vertical axis as “RateA”, than for container 22, shown on theleft of the vertical axis as “RateN”. The rates are ordered along thevertical axis by object weight, such as molecular weight.

Transfer rates could be measured along the leftward and rightwardhorizontal axes with any appropriate units, such as weight per unit timeor number of objects per unit time, with the curves shown being merelyillustrative of possible rates that could be obtained. In comparingrates, therefore, a first rate is “more rapid” than a second rate if thefirst rate is farther from the vertical axis, either leftward orrightward, than the second rate. Conversely, a first rate is “slower”than a second rate if the first rate is closer to the vertical axis thanthe second rate. In any case, a rate so slow that it is not measurableor, in the context of other rates occurring relative to the samecontainer, is negligible, appears on or close to the vertical axis; suchrates are sometimes referred to herein as “zero rates” or “negligiblerates”, while other rates are referred to as “non-zero rates”.

In each graph, the rightward RateA curve shows non-zero rates oftransfer of a first set of objects, i.e. a first set of types ofobjects, that are lighter than a maximum weight permitted to pass bylarge object filters, sometimes referred to herein as “macromoleculefilters”; the portion of each rightward curve above the maximum weightshows zero or negligible rates of transfer of other objects, i.e.objects of types that are heavier than the maximum weight and thereforenot in the first set. Similarly, the leftward RateN curve in each graphshows non-zero rates of transfer of a second set of objects, i.e. asecond set of types of objects: In FIG. 2, the second set similarlyincludes objects that are lighter than a maximum weight permitted topass by small object filters, meaning filters that only permit objectsbelow the maximum weight to pass; in FIG. 3, on the other hand, thesecond set includes, other than very light objects at or below theweight of water, only one specific type of molecule such as sodiumchloride (NaCl), referred to herein as a “selected molecule” or“selected type”, which could be selected by a filter referred to hereinas a “selective filter”. A similar technique could be implemented for aset of selected types of molecules including any suitable combinationof, e.g. sodium chloride, calcium carbonate, magnesium carbonate, orother electrolytes and possibly other molecule types; it is worth notingthat filters for such electrolytes are expected to permit very rapidtransfer of selected type of molecules. Both leftward RateN curves alsoshow, of course, zero or negligible rates of transfer of other objects,i.e. objects of types that are not in the second set.

Each graph illustrates a possible relationship of types of objects inthe first and second sets. As can be seen by comparing the leftward andrightward curves in each graph, the intersection of the first and secondsets includes a shared subset of objects, i.e. of objects that have bothnon-zero RateA and non-zero RateN, while the remainder of the first setincludes a non-shared subset of objects, i.e. of objects that havenon-zero RateA but a zero or negligible RateN. In the illustratedexamples, the remainder of the second set, i.e. objects of types thatare in the second set but not the first set, is an approximately emptysubset, meaning that very few if any types of objects are in thissubset; in other words, none of the objects with non-zero RateN havezero or negligible RateA. Finally, objects of an analyte type such asglucose have a non-zero RateA in both graphs but a zero or negligiblerate RateN in both graphs, and are therefore predominantly in thenon-shared subset; objects of a given type are referred to herein as“predominantly” in a set or subset if the majority of objects of thegiven type are in the set or subset.

As a result of different rates of transfer as shown in FIGS. 2 and 3,parts 12 and 14 in FIG. 1 have different optical characteristics whenoperating as optical cavities. Box 50 at the ends of arrows 42 containsa graph, illustrating that the optical cavities of the first and secondparts 12 and 14 each have a set of transmission modes in which theytransmit output light, with intensity functions of two transmissionmodes of non-analyte container 22 being illustrated by solid-line curve52 and those of counterpart modes of analyte container 20 beingillustrated by dashed-line curve 54. Similarly, box 60 at the ends ofarrows 44 contains a graph, illustrating that the optical cavities ofthe first and second parts 12 and 14 each have a set of reflection modesin which they reflect output light, with intensity functions of tworeflection modes of non-analyte container 22 being illustrated bysolid-line curve 62 and those of counterpart modes of analyte container20 being illustrated by dashed-line curve 64.

The term “intensity function” refers to a function that relatesintensity of output light to another parameter, such as photon energyfor an “intensity-energy function” or, in some implementations, positionof a light interface surface or a photosensitive surface. An intensityfunction can have any of a wide variety of shapes and features, but ashape that frequently arises in transmission modes is the “peak”, ashape characterized by a maximum value from which a curve for thefunction slopes steeply downward. Peaks have various features, including“central value”, meaning the value of the other parameter at which thepeak's maximum occurs, such as “central energy” for an intensity-energyfunction; “maximum intensity” or simply “maximum” or “amplitude”,meaning the intensity value at the peak's maximum, whether measured asan absolute intensity or relative to another feature, such as a nearbyminimum value; “contrast”, meaning a value indicating relationshipbetween magnitudes of the peak's maximum intensity and of one or morenearby minima of the transmission intensity function; and “intermediateintensity width”, meaning the width of the peak at an intensitysomewhere between its maximum and nearby minima, such as a full widthhalf maximum (FWHM). Reflection modes have similar features, thoughtypically with valley-like dips, sometimes referred to as “valleys”, andplateau-like reflection bands between the valleys, approximatelycomplementary to the counterpart transmission modes; therefore, eachvalley in the reflection intensity function has a central energy and anFWHM similar to those of the counterpart peak in the transmissionintensity function.

Features such as transmission mode peaks and reflection mode valleys areexamples of optical characteristics and, more specifically, “opticalspectrum characteristics”, “optical spectrum features”, or simply“spectrum characteristics”, meaning that they appear in functions suchas intensity-energy functions that depend on photon energy, representedin boxes 50 and 60 by the horizontal axes indicating, e.g., wavelengthor frequency; positions on such axes may be referred to as “spectralpositions”. As shown in FIG. 1, the central energies of the peaks andvalleys are displaced along the respective horizontal axes betweenspectral positions, i.e. between curves 52 and 54 in box 50 and betweencurves 62 and 64 in box 60. These displacements or “shifts” are causedby differences in contents of containers 20 and 22, resulting from ratesof transfer that are controlled, such as in one of the ways illustratedin FIGS. 2 and 3. More specifically, they result from certain objectsthat affect the spectrum characteristics, including analyte and variousothers. An object that affects a spectrum characteristic of an opticalcavity is sometimes referred to herein as a “spectrum-affecting object”.Output light from an optical cavity that is affected by aspectrum-affecting object is sometimes referred to herein as“spectrum-affected”. Similarly, the term “shift” refers herein to anydisplacement of a spectrum characteristic or feature with respect tophoton energy, e.g. wavelength, frequency, or phase; a“spectrum-shifting object” shifts a spectrum characteristic or feature,e.g. with respect to wavelength, frequency, or phase; and cavity outputlight in which a spectrum characteristic or feature is shifted is“spectrum-shifted”.

In general, information can be encoded in one of these features not onlyin shifts but also in various other ways, including, for example,absorption effects such as reduced maximum intensity or contrast orincreased intermediate intensity width, e.g. full width half maximum(FWHM); encoding 10 techniques involving such effects are described inU.S. Pat. No. 7,545,513 and incorporated herein by reference in itsentirety. Once encoded, such information can also be recovered invarious ways, including those described in U.S. Pat. No. 7,502,123 andincorporated herein by reference in its entirety.

As a result of these features, product 10 can be used in applications inwhich optical characteristics affected by contents of analyte container20 are compared with those affected by contents of non-analyte container22. Furthermore, product 10 can be implanted within the body, allowingbodily fluid to enter and exit from containers 20 and 22, such as fromblood, lymph, or interstitial fluid, and continuous monitoring ispossible if fluid is continuously transferred in this manner.

The general features in FIG. 1 could be implemented in many ways, asexemplified by the various implementations described below. Parts ofproduct 10 could be made of any of a wide variety of materials invarious shapes and sizes and using a wide variety of differentfabrication techniques. Further, connections between parts 12 and 14 andbetween other parts could be made in a wide variety of ways usingvarious connecting techniques, including various deposition, coating,bonding, adhesive, or other connecting techniques.

The curves in boxes 50 and 60 in FIG. 1 are typical of intensity-energycurves that could be obtained from operation of a “homogeneous opticalcavity”, meaning a cavity whose light-transmissive region includes anextended part with substantially constant optical distance between itsreflection surfaces. Each curve is an intensity-energy graph or “outputspectrum” for the respective optical cavity's operation.

Each of the transmission mode peaks could be referred to as an“intensity-energy peak” or simply “intensity peak” that results from arespective transmission or reflection mode. The maxima ofintensity-energy peaks (and minima of the counterpart reflection modevalleys) are spaced apart as a function of photon energy (e.g.wavelength), and the difference between the central energy of adjacenttransmission mode peaks is referred to as “free spectral range” or“FSR”.

The wavelength λ of each intensity-energy peak can be obtained fromλ(k)=2nd/k, where n is the refractive index of the cavity, d is cavitythickness, and k is a non-zero integer. Therefore, if refractive indexof the cavity changes, λ(k) also changes for a given value of k, so thatif a peak's central energy changes, as indicated by Δλ+ and Δλ− for peak134, the change provides information about refractive index change.Similarly, the intensity of the peaks depends on absorption in thecavity, so that if the intensity of a peak departs from its maximum, thechange provides information about absorption change.

In general, the exemplary implementations described herein operate ashomogeneous optical cavities, but similar techniques should in principlebe applicable to products in which each part can be operated as an“inhomogeneous optical cavity”, meaning a cavity that does not meet theabove definition of a homogeneous optical cavity. In general, furtherinformation about homogeneous and inhomogeneous optical cavities andabout techniques for encoding information in their opticalcharacteristics is provided in U.S. Pat. No. 7,545,513 and incorporatedherein by reference in its entirety.

Various techniques can be used to produce laterally varying energydistributions with inhomogeneous optical cavities having laterallyvarying optical thicknesses and, even with homogeneous optical cavities,with angled illumination from a point light source rather thanperpendicular illumination; several techniques are described in U.S.Pat. No. 7,291,824, incorporated herein by reference in its entirety.

FIG. 4 shows system 200, an exemplary implementation of a system thatcan include a product with features of product 10 in FIG. 1. As usedherein, a “system” is a combination of two or more parts or componentsthat can perform an operation together. A system may be characterized byits operation: for example, an “analyte information system” is a systemthat operates somehow on analyte information; a “processing system” is asystem that performs data or signal processing; and so forth.

Within a system, components and parts may be referred to in a similarmanner. One component of an analyte information system in whichinformation is obtained about an analyte's optical characteristics, forexample, can be a “detector component” or simply “detector”, meaning acomponent that detects light; similarly, a “light source component”includes one or more light sources; an “optical component” performs anoptical operation; a “photosensing component” performs a photosensingoperation; an “information obtaining component” obtains information,such as from photosensing results; an “adjusting component” performs anadjusting operation, such as on photosensing results; a “light sourcecomponent” includes one or more light sources; a “light-transmissivecomponent” or simply “transmission component” transmits light; a“light-reflective component” or simply “reflective component” reflectslight; in contrast, a “reflection component” includes one or morelight-reflective components and operates to reflect, e.g. incident,input, output, or exiting light from an article, device, or system; andother examples are defined further below. Other parts or components canbe characterized by their structure.

System 200 includes optical cavity structure 202, a structure that caninclude two or more containers, each operable in a respective opticalcavity and with features described above. In system 200, a set ofobjects that include analyte can be transferred into analyte container204, while a set of objects that does not include analyte can betransferred into non-analyte container 206, and there can be one or moreother containers between containers 204 and 206, as in some of theexemplary implementations below.

In operation, light source component 210 provides incident light,represented by arrows 212, to structure 202, causing optical cavityoperation in at least the respective parts that include containers 204and 206. The presence of a set of spectrum-affecting objects withanalyte in container 204 affects the output light provided by structure202, and the spectrum-affected output light, represented by arrow 214,can then be photosensed within detector component 220. Similarly, thepresence of a set of spectrum-affecting objects without analyte incontainer 206 affects the output light provided by structure 202, withspectrum-affected output light, represented by arrow 216, also beingphotosensed within detector component 220 but with the sensing resultsfrom containers 204 and 206 being different, e.g. with shifted ordisplaced features.

Detector component 220 could be implemented in many ways in variousimplementations. For example, detector component 220 may include aphotosensing component such as an IC photosensing array or aposition-sensitive detector (PSD) with one or more photosensitivesurfaces at which intensity is detected. In most implementations, anappropriate combination of light sources and detectors is desirable.Minimally, component 210 could include a single laser light source thatconcurrently or alternately illuminates containers 204 and 206 anddetector component could include a single discrete photosensor thatreceives light from both of containers 204 and 206. In general, however,current implementations include a respective detector for eachcontainer, which allows simpler signal processing. As mentioned below inrelation to some examples, it may also be appropriate to spread orotherwise modify laser light or to provide uniform illumination of anoptical cavity's entry surface in another way to obtain optical cavityoperation across an appropriately large portion of a container, in turnproviding output light across the cavity's exit surface.

The sensing results from detector component 220 can be provided to othercomponents within system 200 or to external components, as representedby arrow 222. Sensing results could then be used in a variety of ways,before or after conversion from analog to digital values, to obtaininformation about analyte, such as presence, concentration, or othercharacteristics.

In implementations with inhomogeneous optical cavities and with shiftsin intensity-position functions, detector component 220 could beimplemented in other ways, such as with a photosensing IC, as describedin U.S. Pat. No. 7,471,399 and incorporated by reference herein in itsentirety. The implementation in FIG. 4 might, however, alternatively beimplemented with photosensing components that do not includephotosensing ICs, such as with one or more discrete photodiodes.

Although in general structure 202 can be operated with any suitable typeof optical cavity, including an emitting cavity or a transmissivecavity, FIG. 4 illustratively shows light component 210 as including oneor more light sources that can be included within system 200 toilluminate one or more parts of structure 202, such as to operate astransmissive, homogeneous optical cavities. In this case, the outputlight represented by arrows 214 and 216 could include one or both oftransmitted and reflected light.

FIG. 5 illustrates electrical components that can be used inimplementing system 200 as in FIG. 4. System 200 illustratively includescentral processing unit (CPU) 240 connected to various componentsthrough bus 242, but a wide variety of other architectures could beemployed, including any appropriate combination of hardware andsoftware, as well as specialized hardware components such as applicationspecific integrated circuits (ASICs) for one or more of the illustratedcomponents or in place of a software component executed by CPU 240.

System 200 also includes component input/output (I/O) component 244,memory 246, integrated circuit input/output (IC I/O) 248, and externalI/O 249, all connected to bus 242. System 200 can include various othercomponents (not shown) connected to bus 242. In addition to connectionsthrough external I/O 249 by which signals can be provided to andreceived from external devices, bus 242 can also be connected directlyto components outside of system 200.

Component I/O 244 permits CPU 240 to communicate with certain componentsof system 200, illustratively including illumination control 250, cavitycontrol 252, and fluidic control 254. For interactive applications,component I/O 244 could also be connected to a suitable user interface,such as a monitor and keyboard (not shown). In the exemplaryimplementation in FIG. 5, illumination control 250 can include lightsources 220 (FIG. 4) and circuitry for controlling them; cavity control252 can include electrodes or other components that can be operated tocontrol cavity 204 and other cavities and can also include circuitryconnected to those components; and fluidic control 254 can similarlyinclude pumps or other fluidic devices or components that can operate tomodify fluidic transfer into, through, or out of one or both ofcontainers 204 and 206, and can also include circuitry connected tothose devices and components.

In the illustrated implementation of system 200, IC I/O 248 is a similarI/O component that permits CPU 240 to communicate with one or more ICs,such as in detector 220 in FIG. 4. M ICs are illustrated by a seriesfrom IC(0) 260 to IC(M−1) 262, including IC(m) 264 with a photosensorsuch as a single discrete photosensor or with exemplary array 266.

Memory 246 illustratively includes program memory 270 and data memory272, although instructions for execution by CPU 240 and data accessduring execution of instructions could be provided in any suitable way,including through external devices or components. The routines stored inprogram memory 270 illustratively include analyte information routine274. In addition, program memory 270 could store various additionalroutines and also subroutines (not shown) that CPU 240 could call inexecuting routine 274. Similarly, the data in data memory 272illustratively include calibration data 276, but could include variousadditional items of data and data structures accessed by CPU 240.

In executing routine 274, CPU 240 can provide signals to cavity control252 and to analyte control 254 so that an analyte is present in cavity204, for example, with the analyte having optical characteristics thataffect output light from cavity 204. CPU 240 can also provide signals toillumination control 250 so that cavity 204 is appropriately illuminatedto provide spectrum-affected output light. CPU 240 can also providesignals to each of ICs 260 through 262 to obtain sensing results thatinclude information about the analyte in cavity 204. In animplementation with a position-sensitive detector (PSD), CPU 240 couldinstead provide whatever signals are necessary to obtain photosensedquantities from the PSD; for example, CPU 240 could control circuitry toconnect output currents from the PSD to a differential amplifier.

FIG. 6 illustrates application of a system as described above inrelation to FIGS. 4 and 5 in which optical cavity structure 202 (FIG. 4)is included in an implantable glucose sensing product with features asdescribed above in relation to FIG. 1, in which case cavity control 252(FIG. 5) would typically be unnecessary. System 300 illustrativelyincludes optical cavity component 302, light source component 304, anddetector component 306, with the implantable product including at leastoptical cavity component 302, possibly in combination with one or moreother components, as described below.

Optical cavity component 302 could be an implementation of implantableproduct 10 in FIG. 1 in a long, narrow structure resembling a shortneedle as described below in relation to exemplary implementations. Acompact device with such a structure could be inserted in a minimallyinvasive manner under a human's skin to enable continuous detection ofglucose without further invasive procedures.

In the illustrated example, optical cavity component 302 is shown incross-sectional view, showing how light-reflective components 310 and312 and a set of wall parts including wall 314 define containers 320 and322 between light-reflective components 310 and 312. Each of containers320 and 322 and bounding surfaces of components 310 and 312 can operateas a respective Fabry-Perot (FP) interferometer, for example, with theobjective of obtaining values indicating concentration of glucose insurrounding fluid. For example, in some exemplary implementationsdescribed below, indices of refraction of small samples of surroundinginterstitial fluid are measured, with each sample being contained withinan FP optical cavity and the resulting output signal only beinginfluenced by changes within the sample.

Such structures have been implemented in very small devices that arevery sensitive. In some such implementations, wavelength of incidentlight from a laser is scanned to locate intensity peaks, such as oftransmission modes. It might similarly be possible to increasespecificity by probing or scanning in several discrete wavelengthranges.

Prototype devices including such structures have been successfullyimplemented that measure glucose changes with precision of 10% over therange 50 mg/dl to 500 mg/dl. In the visible spectral range, therefractive index increment of an aqueous glucose solution is about1.38*10⁻⁶ per mg/dl, according to Weast, R. C., ed., CRC Handbook ofChemistry and Physics, 55^(th) Ed., Cleveland, Ohio: CRC Press, 1974, p.D-205. In order to achieve a sensitivity of 5 mg/dl it is thereforenecessary to reliably measure refractive index changes of approximately7*10⁻⁶, a change that translates to a wavelength shift of FP modes ofabout 5.5 μm. The FSR of FP modes, approximately 37 nm in the wavelengthrange 900-1100 nm for a mirror distance of 10 μm, can be tuned by an FPcavity's properties. A key value, for example, is distance betweenpartially reflective mirrors bounding the FP cavity: A mirror distanceof 430 μm results in an FSR of 790 μm at a probing wavelength around 950nm, for example, so that glucose concentration changes of approximately0 to 720 mg/dl can be detected by spectral shift of a single FP mode.

While glucose sensing could be implemented in almost any suitablewavelength range, it may be optimal to use a wavelength at whichabsorption and scattering of light by skin and tissue are minimized.This suggests that the range between 700-1200 nm is likely to besuitable, and a vertical-cavity surface-emitting laser (VCSEL) thatemits at a wavelength in the 700-1200 nm range can be easily andprecisely tuned to scan across an appropriate subrange such as acrossapproximately 1.5 nm of wavelengths (approximately two modes) withcurrent control, providing a suitable light source for illumination ofoptical cavities.

The cross section of FIG. 6 could be taken at a point along the lengthof the structure at which, when implanted under a human's skin, objectsin interstitial fluid can transfer between the exterior and interior ofeach of glucose container 320 and non-glucose container 322 throughrespective filters described in more detail below. In each case, eachcontainer's respective filters are shown in its side wall disposed awayfrom the other container, and could, for example, be mounted orotherwise attached to or connected in any suitable combination of one ormore openings of any appropriate shape and size along the length of acontainer's side wall and/or in one or both of a container's end walls;these examples are merely illustrative, and filters could be mounted orotherwise attached to or connected in or through any appropriate part ofthe boundary of the container and in any appropriate way.

Container 320 is bounded by reflective surfaces of components 310 and312 and also by a surface of wall 314; it can contain interstitial fluidfiltered by filter 324. Container 322 is similarly bounded by otherreflective surfaces of components 310 and 312 and also by the oppositesurface of wall 314; it can contain interstitial fluid filtered byfilters 326 and 328.

Each of filters 324 and 328 prevents a subset of objects that can affectoptical characteristics from being transferred into containers 320 and322 at a relatively rapid rate. In some successful implementations,filters 324 and 328 have been implemented as macromolecule or moleculeweight cut-off (MWCO) filters that effectively prevent molecules over anappropriate size such as about 3 kDa or about 30 kDa from enteringcontainers 320 and 322, respectively, and filters 324 and 328 could beimplemented in various other ways. As a result of filters 324 and 326,transfer of objects such as large molecules, cells, and so forth occursonly at a relatively slow rate or possibly does not occur at all iffilters 324 and 328 are highly effective.

Filter 326, on the other hand, prevents glucose from being transferredinto container 322 at a relatively rapid rate, while allowing at leastsome other objects that pass through filter 328 to be transferred at arelatively rapid rate. In some successful implementations, filter 326has been implemented as an ionophore membrane that only allows certainelectrolytes, e.g. the ions of NaCl, to enter container 322, andtherefore operates as a glucose-blocking filter. As a result, transferof glucose into container 322 occurs only at a relatively slow rate orpossibly does not occur at all if filter 326 is highly effective.

Due to the arrangement of filters described above, contents ofcontainers 320 and 322 can be described as discussed above in relationto FIGS. 1-3, with the shared subset including electrolytes that affectoptical characteristics and that pass through all of filters 324, 326,and 328 at a relatively rapid rate. The non-shared subset in container320, on the other hand, includes glucose, which is predominantly in thenon-shared subset. Container 322, in contrast, includes very few if anytypes of objects that are not also present in container 320. Therefore,non-glucose container 322 contains predominantly electrolytes; glucosecontainer 320 contains electrolytes, glucose, and other objects belowthe maximum filter size; and neither of containers 320 and 322 containslarge molecules or cells because they are transferred into thecontainers at zero or negligible rates.

In operation, optical cavity component 302 receives input light fromlight source component 304, which could include one or more tunablelasers such as VCSELs or other appropriate light sources as describedabove. In response, optical cavity component 302 operates as twoparallel optical cavities, each of which provides output light todetector component 306, which has been successfully implemented with aseparate photosensing detector for each cavity: One optical cavityincludes container 320 and provides output light, represented by arrow330, with information about index of refraction of contents of container320; the other optical cavity includes container 322 and provides outputlight, represented by arrow 332, with information about index ofrefraction of contents of container 322. For example, if the opticalcavities both operate as FP interferometers or as similar opticalcavities with transmission or reflection modes, features of the modes ofthe two cavities will differ in a way that indicates difference ofrefractive index of contents of the respective containers. At the sametime, the modes of the two cavities will be affected identically by somevariations, such as in electrolyte concentration or in temperature, sothat the difference between their modes will not be affected by suchvariations. As a result, non-glucose container 322 serves as areference, with variation in glucose concentration being the predominantcause of difference between modes of the two cavities.

In response to output light from the optical cavities, the photosensingdetectors in detector component 306 obtain sensing results that caninclude information about indices of refraction of contents of bothcontainers, and the sensing results can be provided to an externalcomponent such as a CPU or other processor, as indicated by arrow 334.The CPU or other processor can use the sensing results to obtaininformation about glucose concentration, such as in one of the waysdescribed below.

During operation in this manner, one or more of the illustratedcomponents of system 300 could be controlled by a processor such as CPU240 (FIG. 5). In a typical implementation, objects could be transferredinto containers in component 302 by diffusion or, if pumping or the likewere implemented, by being carried by flow of bodily fluid, but if poweris available in the implantable product for other operations asdescribed below, electrochemical or electromechanical transportprocesses could also be implemented to manipulate flow of bodily fluid,such as to assure representative sampling or to extend the operationallife of the implantable product, and such processes could also becontrolled by a processor. Power could be available in many possibleways, including, for example, by inductive coupling, from one or morebatteries, or from one or more photocells or other electromagneticreceivers.

FIG. 7 illustrates one example of how analyte information routine 274(FIG. 5) could be implemented in a system like system 300 in FIG. 6. Theroutine in FIG. 7 follows a general strategy of varying illuminationwhile iteratively performing a series of readout operations, eachsampling output light intensity at an illuminating photon energy, untilsufficient information is obtained, after which values for shifts orother spectrum effects of analyte and non-analyte objects can beobtained and used to obtain glucose concentration information. It wouldalso be possible to obtain shift values several times, each after asubseries of iterations, and then combine or otherwise use a number ofsuch shift values to obtain glucose concentration information.

The operation in box 350 begins by providing illumination, such asaccording to an appropriate waveform. In this operation, CPU 240 candetermine the appropriate illumination, such as based on operator input,and can then provide signals to light source 304, such as throughillumination control 250 (FIG. 5) to obtain the appropriateillumination. As noted above, a tunable VCSEL that emits at a wavelengthin the 700-1200 nm range could be current-controlled to scan across anappropriate subrange of wavelengths such as across approximately 1.5 nmof wavelengths, with each iteration in FIG. 7 reading out photosensedquantities for a respective wavelength in the subrange, such as withrapid CCD readout, so that each complete scan involves as manyiterations as necessary to adequately sample the subrange.

While illumination is provided, the operation in box 352 then performssensing readout during an appropriate sensing period or series ofsensing periods. In one exemplary approach, box 350 can continuouslyvary VCSEL laser wavelength across a subrange, such as with asawtooth-like function that includes ramps separated by discontinuousinterramp transitions. Thousands of readout iterations can be performedduring each ramp; with a ramp time of a millisecond, for example,readout could be performed more than once per microsecond.

The sensing results obtained from the sensing readout includeinformation from the modes of the output light from both the glucose andnon-glucose containers in optical cavity component 302; this informationcan be encoded, for example, in the ways described above, andparticularly in a spectral characteristic or feature such as a shift ofthe respective spectral position of each of a set of peaks or valleys.

During the operation in box 352, CPU 240 may also provide signals toperipheral circuitry on an IC so that analog readout quantities areidentified as resulting either from glucose container 320 or non-glucosecontainer 322 and, if appropriate, adjusted. After adjustment, if any,analog quantities can be converted to digital signals for readout. Theoperation in box 352 can be implemented in whatever manner isappropriate for a given photosensing IC, whether a CCD or CMOSimplementation, and regardless of whether readout is purely serial or isalso parallel.

If information about analyte is encoded in intensity functions of one ormore modes, this information can be included in sensing results invarious ways. For example, an optical cavity could be iterativelyilluminated at a series of wavelengths and intensity of its output lightcould be sensed with any appropriate photosensing device, even a singlediscrete photosensor, to obtain a time series of intensity-energy pointsthat could be used to detect peak or valley shifts. For the sawtoothsampling technique described above, analog readout intensities from eachramp could be converted to digital values, and the digital values fromeach ramp could be processed with appropriate data processing operationsto algorithmically obtain, e.g., a single digital value indicatingtime(s) within the ramp at which peak(s) occurred; peak time valuescould later be used in box 356 to obtain shift values. Any of a varietyof algorithms could be employed, and it is foreseeable that improvedpeak detection algorithms will be developed in the future.

In a more complex implementation, detector component 306 can include alaterally varying transmission structure, so that each mode's referenceand analog intensity-energy peaks (or valleys) have respective light (ordark) spots on a photosensing IC in detector component 306. Therefore,the sensing results can include information about one or both ofposition, size, and intensity of each light (or dark) spot and,accordingly, about the respective mode's intensity peaks (or valleys).If output light from each cavity includes intensity peaks (or valleys)for two or more modes, their respective light (or dark) spots could betracked as described in U.S. Pat. No. 7,502,123 and incorporated hereinby reference in its entirety.

The photosensed quantities read out in box 352 can also be digitallyadjusted by CPU 240. In other words, suitable information can beobtained by CPU 240, such as from the digitized output or from othersources such as capacitive sensors of electrical conductance asdescribed below; such information can then be used to adjust digitizedvalues obtained for the glucose and non-glucose containers. For example,the operation in box 352 or a subsequent operation can make a datamanipulation or adjustment to obtain “cavity-only absorption data”, anexpression that refers herein to values or other data in whichinformation about absorption in an optical cavity is preserved whileinformation is reduced about features exterior to the cavity such asinhomogeneities in illumination and external absorption, as described inU.S. Pat. No. 7,502,123 and incorporated herein by reference in itsentirety. As will be understood, the encoding of absorption informationin this manner allows removal of noise-like effects other than thosefrom absorption coefficient inside the optical cavity, influences suchas external perturbations, disturbances, or inhomogeneities. As aresult, measurements of absorption can have a higher signal-to-noiseratio. Also, information can be recovered from encoded output light thatis selectively sensitive to absorption changes inside the cavity.

If cavity-only absorption data, such as contrast values, are obtainedboth for the glucose and non-glucose containers, the value for glucosecan be adjusted using the non-glucose container's values, such as bytaking a difference; this is one example of “self-calibration” as thatterm is used herein. Self-calibration can be especially useful inremoving noise-like effects that arise if light source 304 and/ordetector 306 are spaced apart from optical cavity component 302, aswould be the case for some of the implementations described below. Whereinput or output light must pass through bodily tissue and fluids,measurements of absorption are subject to noise, but self-calibrationcan produce a higher signal-to-noise ratio. As indicated above,self-calibration also reduces or eliminates effects of some variations,such as variations in electrolyte concentration and variations intemperature.

The operation in box 352 can also include other operations. For example,digital adjustment in box 352 can also include any necessary adjustmentsdue to differences in sensing periods or other factors.

With the results from box 352, the operation in box 354 then branchesbased on whether sufficient information has been obtained in accordancewith any appropriate criterion, such as a number of iterations or aminimum set of illuminations. If the criterion is not met, a furtheriteration is performed, beginning with box 352 as described above;alternatively, if illumination is adjusted for each iteration, the nextiteration can begin by adjusting illumination in box 350. But ifsufficient information has been obtained, CPU 240 can perform theoperation in box 356 to obtain spectrum effect values such as shiftvalues and to use them to obtain glucose concentration information, suchas in the form of data for another routine or as output through externalI/O 249. This operation can include algorithmically obtaining peak timevalues as described above, and can also include any additionaladjustments, including adjustments based on electrical conductance, thatwere not performed in box 352. The operation in box 356 can also includefurther processing.

In one specific technique that has been successfully implemented withwavelength scanning as described above to obtain transmission modeoutput light, each iteration's analog signals are received, digitizedand saved for the respective wavelength in an appropriate data structurefor each container, in box 352. Then, in box 356, an operation isperformed on the each container's data structure to identify wavelengthsat which peak central energies occur. The identified wavelengths fromthe cavities can then be compared to obtain one or more displacementvalues indicating shift; for example, a first difference can be obtainedbetween wavelengths of two containers.

Yet another possible implementation of box 352 could use a lock-inamplifier. Periodically varying incident wavelength could be provided bysinusoidally tuning the light source within the sampling wavelengthsubrange. Continuously photosensed transmission (reflection) intensitiesof two cavities could be fed into the lock-in amplifier, which on theone hand determines frequency of the intensity signals and on the otherhand their phase shift relative to each other. This phase shift isanother effect of spectrum-affecting (or spectrum-shifting) objects, andit indicates refractive index difference between the two cavities;therefore, it can be used in box 356 to obtain glucose concentrationinformation.

In general, the operations in boxes 352 and 356 can, in combination,obtain values that indicate glucose concentration in surroundinginterstitial fluid by any of a variety of suitable techniques, usingboth optical- and electrical-based information. For example, the valuesobtained can include refractive index values for each of containers 320and 322 or differential values indicating difference in index ofrefraction between containers 320 and 322. As noted above, thedifference in index of refraction between the two containers isattributable predominantly to changes in glucose concentration ininterstitial fluid and eliminates not only effects of contaminants butalso changes in index of refraction in the water solvent due totemperature change.

Operations in boxes 352 and 356 might be implemented to obtain valuesindicating glucose concentration by simply obtaining a differentialvalue indicating wavelength or frequency shift between peak (or valley)positions or phase shift for FP transmission (or reflection) modes ofcontainers 320 and 322. A differential value of this type could beobtained in any appropriate way, such as by comparing two analog valuesand then digitizing the resulting difference signal or by convertingboth values to digital values and then subtracting one from the other.

The operation in box 356 could alternatively be implemented in variousother ways. For example, frequency, wavelength, or phase shift valuescould be used to obtain digital values that indicate refractive indicesin containers 320 and 322, which could then be used to obtain glucoseconcentration.

In performing operations in boxes 352 and 356, CPU 240 can employ datastructures (not shown) stored in memory 246 (FIG. 5). For example,photosensed intensity values from each iteration could be storedtogether with previously obtained information in a readout datastructure. The operation in box 352 could update the readout datastructure before completing each iteration, and then the readout datastructure could be used in box 356 to obtain glucose concentrationinformation. If, for example, the operation in box 356 obtainsabsorption values for glucose, another data structure could provide anabsorption spectrum; similarly, refractive index dispersion could beobtained and provided.

The technique in FIG. 7 can also be combined with other types ofmeasurements, such as Raman spectroscopy, intrinsic fluorescencespectroscopy and measurement of fluorescence lifetime, polarimetry toobtain rotation, and so forth, which could be performed using the sameimplantable product with additional operations similar to thosedescribed above; combining absorption spectrum measurement withorthogonal methods such as polarimetry can improve sensitivity andspecificity. The operation in box 356 can be extended to performmultiple signal analysis.

FIG. 8 illustrates features of optical cavity component 360, anotherimplementation of product 10 (FIG. 1) with similar parts labeled withthe same reference numerals as in FIG. 1. If suitably implemented,optical cavity component 360 could be used in system 300 (FIG. 6) inplace of optical cavity component 302. Component 360 is illustrativelyrectangular, with each part's entry and exit surfaces beingapproximately square for easier illumination; and FIG. 8 shows one sideof component 360.

As in FIG. 1, part 12 includes analyte container 20 and part 14 includesnon-analyte container 22. Each container can have an unattached sideaway from the other container, an attached side toward the othercontainer, and lateral surface between the unattached and attachedsides. Wall 24 is at the attached sides of both containers. The lateralsurfaces of container 20 and 22 extends leftward and rightward,respectively, from wall 24, with the illustrated front side extending toposts 362 and 364, respectively. Between wall 24 and posts 362 and 364,the front sides are covered by filter assemblies 366 and 368,respectively; assembly 366 could include a filter like filter 324 (FIG.6), while assembly 368 could include filters like filters 326 and 328(FIG. 6); the rear sides of containers 20 and 22 could have similarfilter assemblies (not shown) extending to similar posts, with post 365at the rear of container 22 being shown in the illustrated view.Opposite wall 24, the unattached side of container 20 is similarlycovered by another filter assembly (not shown) that extends from post362 backward to its rear post (not shown) and could include a filterlike filter 324. The unattached side of container 22, as shown, issimilarly covered by filter assembly 369, extending between posts 364and 365, which could include filters like filters 326 and 328. Ingeneral, objects in interstitial fluid or other bodily fluid cancontinuously diffuse through the filter assemblies wheneverconcentration gradient occurs, allowing for continuous monitoring orother sensing operations. Rate of diffusion into containers 20 and 22 isincreased by covering not only their front and rear lateral sides butalso their unattached sides with filter assemblies, thus increasing areaof bounding regions through which objects in bodily fluid can betransferred into each container through its filter assemblies.

As in FIG. 1, parts 12 and 14 each receive input light as indicated byarrows 40, illustratively through a light interface surface of structure370. Parts 12 and 14 can provide transmitted output light through anopposite light interface surface of structure 372 and can providereflected output light (not shown) back through the same light interfacesurface of structure 370.

Structures 370 and 372 can each be implemented with glass or otherlight-transmissive material. Each of structures 370 and 372 can alsoinclude or support respective light-reflective components disposedtoward each other for optical cavity operations. Electrodes 374 and 375,supported on opposite sides of container 20 by structures 370 and 372respectively, can also operate as the light-reflective components, suchas metallic mirrors, or can be light-transmissive conductors, in whichcase structures 370 and 372 include other light-reflective componentssuch as mirrors. Similarly, electrodes 376 and 377, supported onopposite sides of container 22 by structures 370 and 372 respectively,can operate as light-reflective components, such as metallic mirrors, orcan be light-transmissive conductors, with structures 370 and 372including other light-reflective components such as mirrors. Note thatelectrodes 374, 375, 376, and 377 would not be needed for techniquesdescribed below if patterned light-reflective components included instructures 370 and 372 can also operate as electrodes; suchlight-reflective components could take the place of electrodes 374, 375,376, and 377.

Lines 378 connected to electrodes 374 and 375 are also connected tocoupling circuitry (not shown) through which signals from electrodes 374and 375 can be provided to external circuitry (not shown), such asthrough inductive coupling or other appropriate coupling techniques.Electrodes 374 and 375, lines 378, and the coupling circuitry thereforemake it possible to measure fluid electrical conductance across contentsof analyte container 20.

To a first approximation, fluid electrical conductance in container 20is directly proportional to electrolyte concentration in the container.Therefore, fluid electrical conductance can be used, as in boxes 352 and356 in FIG. 7, to determine level of hydration, which can then be usedto derive a value for glucose from shift values or other valuesindicating spectrum effects; measured fluid conductance of analyte canbe used to adjust sensing results to eliminate effects of interferingobjects on optical-based measurements of analyte characteristics such asrefractive index. Although DC methods could be used to measure fluidelectrical conductance across electrodes as in component 360, ACconductance can be measured by capacitive methods and may therefore bemore suitable for use in an implanted product because electrodesemployed in DC methods could become contaminated. Although FIG. 8 showselectrodes and lines for analyte conductance measurement, component 360does not include a reference cavity, and such measurement is expected tobe especially useful in implementations with reference cavities, severalexamples of which are described below.

Component 360 in FIG. 8 also illustrates a typical rectangular shape foran article like product 10 as in FIG. 1. Insertion into a human bodyshould be achievable with transverse outer dimensions approximating 2.0mm, and dimensions approximating 1.0 mm would make insertion easier.Current thin film fabrication technology can easily produce a structureof this size.

Openings into each container in component 360 can be shaped, sized, andlocated for the required update time constant and other constraints ofthe application; for example, for monitoring a homogeneous fluid forglucose, it may be desirable for objects to diffuse into each containerat the greatest feasible volume. Since diffusion rate is proportional toarea for a given filter structure, and since diffusion time affectsaccuracy of measurements, an objective is to maximize diffusion throughthe filter assemblies, such as by increasing their area so that theycover as much of the boundaries of analyte and non-analyte containers aspossible. In the illustrated implementation, this is promoted byproviding filter-covered openings on all sides except the sides wherelight-reflective components bound optical cavities, i.e. in structures370 and 372; if each of parts 12 and 14 is shaped as a cube,approximately 100% of its unattached side plus approximately 50% of thelateral surface between its attached and unattached sides would beobject transfer regions, so that the total area of its object transferregions might be equal to approximately 75% of the area of its lateralsurface, e.g. a few percent less than 75%.

It might be possible to increase object transfer regions above 75% ofthe area of lateral surfaces by structuring component 360 so that eachoptical cavity's light-reflective surfaces are its unattached andattached sides, i.e. its left and right sides in the view in FIG. 8; inthis case, nearly all of the lateral surface area would be available forobject transfer regions, subject only to structural constraints, so thata cube-like container's object transfer regions might have an areaexceeding 75% of the area of its lateral surface, conceivablyapproaching 90% or even 95% of the area of its lateral surface. Inoperation, transmission mode output light from one cavity illuminatesthe other cavity whose transmission mode output light is photosensed toobtain information about both cavities. Techniques such as this, inwhich cavities are in effect illuminated in series rather than inparallel, might, however, require more sophisticated data processingoperations to obtain shift values and glucose concentration, as in box356 in FIG. 7.

Component 360 could be implemented with a wide variety of types ofoptical cavity techniques. Component 360 could also be implemented witha tunable cavity, such as with deformable spacers, to set its wavelengthrange during manufacture or to adjust it during use, to provide adifferent set of sample points at each position. In any case, component360 could be used in a system that applies referencing techniques toreduce the effects of noise and inhomogeneities, possibly includingself-calibration and other types of referencing as mentioned herein,including techniques appropriate to tuning a laser across at least oneFSR of a cavity's spectrum.

FIG. 9 illustrates features of optical cavity component 400, anotherimplementation similar to structure 202 (FIG. 4) with an additionalreference container, such as containing a reference fluid (e.g. water,another liquid, or gas), a reference solid, or vacuum with awell-defined refractive index. If suitably implemented, optical cavitycomponent 400 could similarly be used in system 300 (FIG. 6) in place ofoptical cavity component 302. Like component 360 (FIG. 8), component 400is rectangular, and FIG. 9 shows a perspective view, showing threecontainers separated by wall-like parts represented by dashed lines,analyte container 402, reference container 404, and non-analytecontainer 406.

Analyte container 402 and non-analyte container 406 each have posts 408at the corners on their unattached sides disposed away from each otherand their attached sides both connect to container 404. Filter assembly410 is attached between posts 408 on the unattached side of container402, and a similar filter assembly (not shown) would be on theoppositely disposed unattached side of container 406. Filter assemblies412 and 414 are similarly attached on the rightward lateral sides ofcontainers 402 and 406, and similar filter assemblies (not shown) couldbe on their opposite, leftward lateral sides. Through diffusion throughthe filter assemblies at their sides, containers 402 and 406 can receiveobjects from interstitial fluid when concentration gradients arise. Incontrast, reference container 404 is closed at rightward end 416 andalso at its leftward end, and holds a reference fluid (e.g. water),solid, or vacuum. In other respects, component 400 can be implementedsimilarly to component 360 (FIG. 8).

In the illustrated example, the filter assemblies on the sides ofanalyte container 402 can be implemented with a filter similar to filter324 (FIG. 6). Similarly, the filter assemblies on the sides ofnon-analyte container 406 can be implemented with filters similar tofilters 326 and 328 (FIG. 6). Since diffusion rate is proportional toarea for a given filter structure, and since diffusion time affectsaccuracy of measurements, an objective here again is to maximizediffusion through the filter assemblies, such as by increasing theirarea to cover as much of the boundaries of analyte and non-analytecontainers as possible, as described above in relation to FIG. 8.

FIG. 10 illustrates features of optical cavity component 390, anotherimplementation similar to component 400 (FIG. 9) but with containers ina different order that is more suitable to flow than to diffusion. Ifsuitably implemented, optical cavity component 390 could be used insystem 300 (FIG. 6) in place of optical cavity component 302. Likecomponent 400 (FIG. 9), component 390 is illustratively rectangular,divided into three containers by wall-like parts represented by dashedlines 391 and with each container labeled with a description of possiblecontents when component 390 is operated in interstitial fluid thatincludes water, sodium chloride, glucose, and other types of objectssuch as lactic acid and so forth. To provide flow, the analyte andnon-analyte containers could each have at least one channel end coveredby a structure that performs a fluidic operation similar to pumping inorder to draw filtered bodily fluid into the container throughrespective filter assemblies. In general, interstitial fluid or otherbodily fluid can be continuously drawn through filter assemblies andthrough the containers to allow for continuous monitoring or othersensing operations.

Analyte container 392 can receive surrounding interstitial fluid througha filter assembly at its inlet end 393, and the interstitial fluid canbe pumped by a pump device (not shown) at its outlet end 394. Similarly,non-analyte container 395 can receive surrounding interstitial fluidthrough a filter assembly at its inlet end 396, and the interstitialfluid can be pumped by a pump device (not shown) at its outlet end 397.Each of containers 392 and 395 can operate as a tube-like fluidicchannel extending between opposite ends at lateral sides of component390. In contrast, reference container 398 is closed at both its ends399, and holds a reference fluid (e.g. water), solid, or vacuum. Inother respects, component 390 can be implemented similarly to component400 (FIG. 9).

In the illustrated example, the filter assembly at inlet end 393 ofanalyte container 392 can be implemented with a filter similar to filter324 (FIG. 6). Analyte container 392 illustratively contains not onlywater from the interstitial fluid, but also all objects in theinterstitial fluid that are less than an appropriate maximum sizegreater than glucose molecules; such objects include sodium chloride,glucose, and various other objects, such as lactic acid and many others.

The filter assembly at inlet end 396 of non-analyte container 395, onthe other hand, can be implemented with filters similar to filters 326and 328 (FIG. 6). Non-analyte container 395 illustratively contains onlywater and sodium chloride from the interstitial fluid.

Component 390 (FIG. 10) makes it possible to make absolute measurementsof refractive indices of contents of containers 392 and 395 by referenceto that of contents of container 398. Similarly, component 400 (FIG. 9)makes it possible to make absolute measurements of refractive indices ofcontents of containers 402 and 406 by reference to that of contents ofcontainer 404. In other words, containers 398 and 404 serve as absolutereferences.

It appears possible that only the glucose concentration in interstitialfluid is independent of hydration level, while concentrations of allother types of spectrum-affecting or spectrum-shifting objects changewith hydration level but maintain constant ratios with respect to eachother despite effects such as dehydration or hyponatremia. Therefore, asingle value, n_(AllLow), can represent the contribution to refractiveindex of all non-glucose objects in containers 392 and 402; if a valuefor n_(AllLow) is obtained, it can be used with the absolutely measuredrefractive index n_(Total) of containers 392 and 402 to obtainn_(glucose)=n_(Total)−n_(AllLow), and n_(glucose) can then be used toobtain glucose concentration.

Further, the non-glucose refractive index n_(AllLow) can be approximatedas proportional to the refractive index of one non-glucose type ofobjects, such as sodium chloride. Under this approach, one begins byobtaining the refractive index n_(NaCl) for sodium chloride ininterstitial fluid (which implicitly indicated hydration level, includeresults of conditions such as dehydration and hyponatremia) and aconcentration coefficient C_(c) that indicates the ratio of n_(AllLow)to n_(NaCl), a ratio that should be approximately constant overhydration level, which varies over time. The coefficient C_(c) can bedetermined, for example, by initially measuring blood plasma values toobtain an initial value and then subsequently adjusting the initialvalue by comparing measured glucose values with blood glucose valuesduring times of stable glucose concentration, in effect calibratingC_(c). Once C_(c) has been calibrated in this manner or has beenobtained in some other way and the absolutely measured refractive indexn_(NaCl) of containers 395 and 406 has been obtained, n_(AllLow) can beobtained using the relationship n_(AllLow)=C_(c)*n_(NaCl).

This technique can be combined with techniques described above inrelation to FIG. 7. For example, operations can be performed in box 356(FIG. 7) to identify wavelengths at which peak central energies occur ineach of the three containers in FIG. 9. A first difference value can beobtained indicating the difference in wavelength between the peakcentral energies of non-analyte container 406 and reference container404; this first difference value can then be multiplied by a constantC_(c) as described above to obtain an adjusted wavelength, and a seconddifference value can be obtained indicating the difference between theadjusted wavelength and the identified wavelength of analyte container402, which indicates glucose concentration.

Object transfer control techniques based on selective filtering, such asof sodium chloride, may be advantageous because polarized molecules canoften be very effectively selected, while it may be difficult to make asharp distinction between objects with weights above and below somemaximum. To the extent that recalibration might be required, it could bedone, e.g. by making a conventional glucose concentration measurementperiodically, such as once a week.

FIGS. 11-18 illustrate features of several other exemplaryimplementations of system 300 (FIG. 6). In general, however, system 300could be implemented in many different ways, and can include variousimplantable products that include optical cavity structures of variouskinds; various types of filters, membranes, and other fluidiccomponents; various combinations of containers with and without absolutereference containers; various types and combinations of light sources;and various types of detectors in addition to the examples describedbelow.

FIG. 11 illustrates a configuration in which implantable product 420includes neither light source component 304 nor detector component 306,but does include analyte container 422, non-analyte container 424, andreference container 426. As shown, product 420 has been implanted inbody part 430, which could be human dermis, and can be illuminated bylight source component 304 on or near an exterior surface of body part430, providing input light represented by arrows 432. In response toappropriate illumination, respective optical cavities that includecontainers 422, 424, and 426 operate to provide output light representedby arrows 434. Detector component 306, also on or near an exteriorsurface of body part 430, photosenses the output light, providingsensing results as described above.

The configuration in FIG. 11 may be especially appropriate if input andoutput light are in the wavelength range 600-1100 nm, in whichabsorption by water and tissue allows a transmission window in which itmay be possible to measure absorption of certain important analytes suchas glucose. If implemented as a completely passive optical unit, product420 may not require any electrical power. The configuration in FIG. 11may, however, involve issues of orientation of components to ensure thatillumination and detection are efficiently performed.

Orientation of components can result in non-perpendicular incidence ofinput light on optical cavities. Unless all output light is incident onone position of the detector component or the detector component hasonly a single large area as with some PSDs, adjustments can be made tocorrect for non-perpendicular incidence of input light: For example, ifthe light source component emits light from a point source at manydifferent angles that are accordingly transmitted through the cavitiesat various angles, the detector component's photosensitive surfacereceives the output light at many different angles, but each cell of aphotosensor array would receive only a very small angular distribution;therefore, if the angle could be known, as would be the case in a fixedgeometry but may not be the case in FIG. 11, the angle-induced variationcan be easily corrected. Furthermore, angle-induced variations can becorrected by detecting two transmission maxima (or reflection minima) inone cavity. Their spacing is the free spectral range of the cavity whichis proportionally affected by variations in the incident light angle.Therefore, by determining the free spectral range, variations in theincident light angle may be compensated for by, for example, dividingthe maximum's (minimum's) position by the free spectral range.

FIG. 12 illustrates a configuration in which implantable product 440does not include light source component 304, but does include analytecontainer 442, non-analyte container 444, reference container 446, anddetector component 448. As shown, product 440 has again been implantedin body part 430, and, as in FIG. 11, can be illuminated by light sourcecomponent 304 on or near an exterior surface of body part 430, providinginput light represented by arrows 450. In response to appropriateillumination, respective optical cavities that include containers 442,444, and 446 operate to provide output light to detector component 448,connected to containers 442, 444, and 446 in any appropriate way.Detector component 448 photosenses the output light and provides sensingresults, such as by transmitting electromagnetic or other signalsrepresented by arrow 452.

The configuration in FIG. 12 may also be appropriate if input and outputlight are in the wavelength range 600-1100 nm, for the same reasons asFIG. 11. In this configuration, product 440 must have an electricalpower source for detector component 448. It may also involve issues oforientation of components to ensure that illumination is efficientlyperformed. If the measurements are referenced to a reference medium manyof the issues with regard to the misalignment of the components can becorrected, since analyte and reference measurement are affected in thesame manner.

FIG. 13 illustrates a configuration in which implantable product 460includes analyte container 462, non-analyte container 464, referencecontainer 466, detector component 468, and light source component 470.As shown, product 460 has again been implanted in body part 430, butdoes not require illumination from outside the body as in FIGS. 11 and12. Instead, light source component 470, connected to containers 462,464, and 466 in any appropriate way, can illuminate the optical cavitiesthat include containers 462, 464, and 466 in response to receivingelectromagnetic or other control signals represented by arrow 472. Inresponse to appropriate illumination, the optical cavities that includecontainers 462, 464, and 466 operate to provide output light to detectorcomponent 468, connected to containers 462, 464, and 466 in anyappropriate way. As in FIG. 12, detector component 468 photosenses theoutput light and provides sensing results, such as by transmittingelectromagnetic or other signals represented by arrow 474.

The configuration in FIG. 13 may be appropriate not only if input andoutput light are in the wavelength range 600-1100 as in FIGS. 11 and 12,but also in the range 2.1-2.5 μm, because absorption by water and tissueis greatly reduced or eliminated. The configuration in FIG. 13 similarlymust have an electrical power source for both light source component 470and detector component 468. It may also involve issues of orientation ofcomponents to ensure that illumination is efficiently performed,although these issues are greatly reduced in this case since allcomponents can be fixed relative to each other.

FIG. 14 illustrates a configuration in which implantable product 480includes analyte container 482, non-analyte container 484, referencecontainer 486, and light source component 488, while detector component306 is separate, as in FIG. 11. As shown, product 480 has again beenimplanted in body part 430, but does not require illumination fromoutside the body as in FIGS. 11 and 12. Instead, light source component488, connected to containers 482, 484, and 486 in any appropriate way,can illuminate the optical cavities that include containers 482, 484,and 486 in response to receiving electromagnetic or other controlsignals represented by arrow 490. In response to appropriateillumination, the optical cavities that include containers 482, 484, and486 operate to provide output light, represented by arrows 492. Detectorcomponent 306, again on or near an exterior surface of body part 430,photosenses the output light, providing sensing results as describedabove.

The configuration in FIG. 14 similarly must have an electrical powersource for light source component 488. It can also involve other issuesmentioned above in relation to FIGS. 11-13.

FIGS. 15-18 illustrate approaches in which an implantable productincludes neither light source nor detector, but in which reflection isused so that light source and detector components can be on the sameside of a body part, in some cases included in a single unit. Theexemplary implementation of FIG. 15 reflects output light in atransmission mode, while those of FIGS. 16-18 use reflection modes. Itwould also, of course, be possible to combine both reflectiontechniques, using both transmission and reflection modes. Issuesmentioned above in relation to FIGS. 11-14 are also relevant to FIGS.15-18.

FIG. 15 illustrates a configuration in which implantable product 500,which could be a passive device, includes analyte container 502,non-analyte container 504, and reflection component 506, while lightsource/detector unit 508 is separate. Product 500 has again beenimplanted in a body part, with reflection component 506 positioned awayfrom an exterior surface of the body part on or near which unit 508 ispositioned in use, possibly by being attached to skin. Reflectioncomponent 506 includes a retroreflector or similar combination ofoptical components that, as represented by mirrors 510, direct outputlight back in the direction from which input light is received from unit508.

Unit 508 includes light source 512, which could, for example, be anarray of lasers, a single laser with a beam splitter, or anothersuitable light source; in operation, light source 512 provides inputlight, represented by arrows 514. In response to appropriateillumination, respective optical cavities that include containers 502and 504 operate to provide output light represented by arrows 515 and516, respectively. Output light is reflected within reflection component506, such as by mirrors 510, and emerges from the exterior surface ofbody part 410 where unit 508 is positioned.

Unit 508 also includes detectors 518 and 519, configured relative tolight source 512 so that they receive the output light represented byarrows 515 and 516, respectively. Detector 518 therefore providessensing results that include information about refractive index ofcontents of analyte container 502, while detector 519 provides sensingresults that include information about refractive index of contents ofnon-analyte container 504. The sensing results from detectors 518 and519 can be received by additional circuitry (not shown) in unit 508 orcan be received from unit 508 by external circuitry (not shown), and theadditional or external circuity can perform operations, such asdescribed above in relation to boxes 352 and 356 (FIG. 7), to obtainanalyte information such as presence or concentration of an analyte.

FIG. 15 could also be used with other versions of unit 508. For example,one or both of detectors 518 and 519 could be interchanged with theirlight sources, so that one or both sides of product 500 could beilluminated and provide its output light in the opposite direction.

An implementation as in FIG. 15 could be advantageous if it eliminatesthe need to deliver power to an implanted device while allowing asmall-sized implantable device comparable to that illustrated in FIG.11; for example, with optical cavity mirror reflectivity in a rangebetween approximately 50-70%, cavity thickness in a range betweenapproximately 300-600 μm and lateral dimensions such as 3 mm×1 mm wouldbe appropriate. With currently available techniques, however, animplementation as in FIG. 15 is likely to be larger in size than anactive device as in FIG. 12, which, however, requires power for detector448. An implementation as in FIG. 15 could advantageously be designed tominimize light passage through tissue and as a self-contained module,such as of glass. It could also be extended to one or more additionalcontainers with respective mirrors, such as above and below the plane ofcontainers 502 and 504.

The configurations illustrated schematically in FIGS. 16-18 share somepossible advantages of the configuration in FIG. 15 and also do notinherently require reflection component 506 so that they might allow asmall-sized implantable device as in FIG. 11. In each case, appropriatemeasures are taken so that reflection mode output light can be detectedat a position different than light source position.

FIG. 16 illustrates a configuration in which implantable product 520,which could be implemented as described above in relation to FIG. 11,includes analyte container 522 and non-analyte container 524, whilelight source/detector unit 526 is separate. As above, product 520 can beimplanted in a body part (not shown), and unit 526 can be positioned onor near an exterior surface of the body part, possibly by being attachedto skin.

Unit 526 includes light source 530, which could, for example, be anarray of lasers, a single laser with a beam splitter, or anothersuitable light source; in operation, light source 530 provides inputlight, represented by arrows 532. In response to appropriateillumination, respective optical cavities that include containers 522and 524 operate to provide output light represented by arrows 534 and536, respectively. Output light emerges from the exterior surface of thebody part where unit 526 is positioned.

Unit 526 also includes beam splitters 540 and 542 which reflect outputlight represented by arrows 534 and 536 toward detectors 544 and 546,respectively. Detector 544 therefore provides sensing results thatinclude information about refractive index of contents of analytecontainer 522, while detector 546 provides sensing results that includeinformation about refractive index of contents of non-analyte container524. The sensing results from detectors 544 and 546 can be handled, forexample, as described above in relation to FIG. 15.

Like FIG. 16, the technique of FIG. 17 could be extended to include oneor more It could also be extended to one or more additional containers,such as above and below the plane of containers 522 and 524. In thismodification, unit 526 could also include additional mirrors anddetectors positioned and oriented appropriately to receive output lightfrom the additional containers.

FIG. 17 illustrates a configuration in which implantable product 550,which could similarly be implemented as described above in relation toFIG. 11, includes analyte container 552 and non-analyte container 554and could optionally include one or more reference containers or otherappropriate containers between them as suggested by ellipses. As above,product 550 can be implanted in a body part (not shown), and lightsource 556 and detectors 560 and 562 can be positioned on or near anexterior surface of the body part, possibly by being attached to skinand possibly being in a unit as described above in relation to FIGS. 15and 16.

Light source 556, which could, for example, be an array of lasers, asingle laser with a beam splitter, or another suitable light source,provides input light, represented by arrows 564 which are illustrativelyoblique rather than normal to the entry surface of optical cavities inproduct 550. In response to appropriate illumination, respective opticalcavities that include containers 552 and 554 operate to provide outputlight represented by arrows 566 and 568, respectively, also obliquerather than normal to the exit surface. Because of obliqueness asillustrated, beam splitters as in FIG. 16 are unnecessary.

Output light emerges from the exterior surface of the body part, withoutput light represented by arrows 566 and 568 being received bydetectors 560 and 562, respectively. Detector 560 therefore providessensing results that include information about refractive index ofcontents of analyte container 552, while detector 562 provides sensingresults that include information about refractive index of contents ofnon-analyte container 554. The sensing results from detectors 560 and562 can also be handled, for example, as described above in relation toFIG. 15.

FIG. 18 illustrates a configuration in which implantable product 570includes analyte container 572 and non-analyte container 574. Unlikeother exemplary implementations described above, containers 572 and 574have entry and exit surfaces that are not aligned but rather form anoblique angle with a vertex where they meet. As above, product 570 canbe implanted in a body part (not shown) with the vertex disposed towardan exterior surface of the body part, and light source 576 and detectors580 and 582 can be positioned on or near the exterior surface of thebody part toward which the vertex is disposed, possibly attached to skinor in a unit as described above in relation to FIGS. 15 and 16.

Light source 576, which could, for example, be an array of lasers, asingle laser with a beam splitter, or another suitable light source,provides input light, represented by arrows 584 which can be normal tothe body part's exterior surface but, as a result of positioning ofproduct 570, oblique to entry surfaces of optical cavities in product570. In response to appropriate illumination, respective opticalcavities that include containers 580 and 582 operate to provide outputlight represented by arrows 586 and 588, respectively, which are obliquerather than normal to the optical cavity exit surfaces and also to thebody part's exterior surface. Because of obliqueness as illustrated,beam splitters as in FIG. 16 are again unnecessary, as in FIG. 17.

Output light emerges from the exterior surface of the body part, withoutput light represented by arrows 586 and 588 being received bydetectors 580 and 582, respectively. Detector 580 therefore providessensing results that include information about refractive index ofcontents of analyte container 572, while detector 582 provides sensingresults that include information about refractive index of contents ofnon-analyte container 574. The sensing results from detectors 580 and582 can also be handled, for example, as described above in relation toFIG. 15.

FIGS. 19-21 illustrate approaches in which an implantable product withthree containers includes a reflection component that divides incidentlight from a light source before providing it to the containers foroperation as optical cavities that provide transmission mode outputlight. As in FIG. 15, these techniques avoid the need for light sourceand detector components on opposite sides of a body part. The exemplaryimplementation of FIG. 19 receives light from outside the body part buton the same side as detectors, while those of FIGS. 20-21 include anarrow beam light source in the product. Issues mentioned above inrelation to FIGS. 11-18 are also relevant to FIGS. 19-21.

FIG. 19 illustrates a configuration in which implantable product 620,which could be a passive device, includes containers 622, 624, and 626,at least one of which is an analyte container and at least one of whichis a non-analyte container. Product 620 also includes a reflectioncomponent with an incident light surface 628 through which incidentlight is received, represented by arrows 630.

Within the reflection component, mirror 632 receives the incident lightin an incident light direction and provides input light, represented byarrows 634, in a perpendicular direction. Partially reflective mirror636, such as with one-third reflectivity, receives the full intensityincident light and splits it, reflecting one-third intensity input lightrepresented by arrows 638 in an entry direction to container 626, andtransmitting two-thirds intensity light, represented by arrows 640.Partially reflective mirror 642, such as with one-half reflectivity,receives the two-third intensity light and splits it, reflectingone-third intensity input light represented by arrows 644 in an entrydirection to container 624, and transmitting one-third intensity light,represented by arrows 646. Totally reflective mirror 650 receives theone-third intensity light and reflects it, providing one-third intensityinput light represented by arrows 652 in an entry direction to container622. In response, the optical cavities provide respective transmissionmode output light, represented by arrows 654, 656, and 658 forphotosensing, such as by appropriately positioned detectors that includediscrete photosensors or a photosensing array.

FIG. 20 illustrates a configuration in which implantable product 660includes parts similar to those of product 620 (FIG. 19), withcounterpart parts that operate substantially the same way being labeledwith the same reference numbers. In addition, product 660 includesnarrow beam light source 662, such as a tunable VCSEL laser. The narrowbeam from source 662, represented by arrows 664, is, however, somewhatdivergent, and therefore passes through lens 666 or another appropriateoptical collimating component, which provides a more collimated beamrepresented by arrows 668. The collimated beam is then received bymirror 636, and so forth as described above in relation to FIG. 19.

As in FIGS. 13 and 14, light source 662 can be controlled from outside abody part by control signals, represented by arrow 670. As a result,product 660 would require some sort of power source for light source662, as in some of the exemplary implementations described above.

FIG. 21 illustrates another configuration in which implantable product680 includes some parts similar to those of products 620 (FIG. 19) and660 (FIG. 20), with counterpart parts that operate substantially thesame way being labeled with the same reference numbers. In addition,product 660 similarly includes narrow beam light source 682, such as atunable VCSEL laser whose output beam does not diverge as rapidly as inFIG. 20. The narrow beam from source 682, represented by arrows 684, isdivided before being collimated rather than after being collimated as inFIG. 20. The collimating techniques of FIGS. 20 and 21 could inprincipal be used together if advantageous, and more complex opticalcomponents might be capable of combining dividing and collimatingoperations.

Within the reflection component in FIG. 21, partially reflective mirror686, such as with one-third reflectivity, receives the full intensitynarrow beam and splits it, reflecting a one-third intensity narrow beamrepresented by arrows 688 in an entry direction to container 626, andtransmitting a two-thirds intensity narrow beam, represented by arrows690. Partially reflective mirror 692, such as with one-halfreflectivity, receives the two-third intensity narrow beam and splitsit, reflecting a one-third intensity narrow beam represented by arrows694 in an entry direction to container 624, and transmitting a one-thirdintensity narrow beam, represented by arrows 696. Totally reflectivemirror 698 receives the one-third intensity narrow beam and reflects it,providing a one-third intensity narrow beam represented by arrows 700 inan entry direction to container 622.

Also within the reflection component, lens 702 or another appropriateoptical collimating component collimates the narrow beam from mirror698, providing a collimated beam represented by arrows 704 to container622. Similarly, lenses 706 and 710 collimate the respective narrow beamsfrom mirrors 692 and 686, providing collimated beams represented byarrows 708 and 712, respectively. In response, the optical cavitiesprovide respective transmission mode output light as above.

As in FIG. 20, light source 682 can be controlled from outside a bodypart by control signals, represented by arrow 720. As a result, product680 would also require some sort of power source for light source 682.

Implementations as in FIGS. 19-21 could also be advantageous for reasonsset forth above. In addition, they provide an elegant technique toincrease the number of containers that can be operated as opticalcavities, which are limited for some other configurations. Assumingsuitable fluidic components for analyte, non-analyte, and referencecontainers, various suitable arrangements could be provided, includingarrangements with more than three containers, and also more than threemirrors to provide their input light.

FIG. 22 illustrates exemplary operations in producing products likeimplantable products 360, 390, 400, 420, 440, 460, 480, 500, 520, 550,570, 620, 660, and 680 in FIGS. 8-21. In particular, the operations inFIG. 22 make it possible to produce implantable products that includeanalyte and non-analyte containers, each of which is within a respectiveoptical cavity that can be operated to provide output light in one ormore modes with information about optical characteristics of analyte andnon-analyte contents.

The operation in box 600 in FIG. 22 produces two partial optical cavitystructures. This operation can include producing a light-reflectivestructure on each of two substrates, similar to light-reflectivestructures described above, such as in relation to FIG. 8. Thisoperation can also include producing a patterned layer of SU-8 orpolydimethylsiloxane (PDMS) on one or both of the light-reflectivestructures, such as with techniques described in co-pending U.S. patentapplication Ser. No. 11/315,992, entitled “Sensing Photons from Objectsin Channels” and incorporated herein by reference in its entirety. Eachpatterned layer could include structures such as wall-like part 24 inFIG. 1 and wall 314 in FIG. 6, together with other wall-like structuresthat partially enclose analyte and non-analyte containers, and thatcould completely enclose additional reference containers as in FIGS.9-10. If appropriate, an anti-adhesive coating can be applied tosurfaces of the partial structures, such as by dip-coating polyethyleneglycol (PEG) or by providing a coating of parylene C or vapor deposittetraglyme; these measures may be helpful in extending the operatinglife of an implantable product, by preventing clogging.

The two partial structures can also have appropriate dimensions tosatisfy various constraints. For example, for a compact, minimallyinvasive, disposable product, small dimensions are required. The volumeof each of the resulting analyte and non-analyte containers, forexample, could be as small as a few 100 μl; even with a very smallvolume, adequate light-analyte interaction can occur in an opticalcavity if reflectivity of reflection surfaces is sufficiently high. Atthe same time, dimensions must be chosen that can produce the desiredoptical cavity modes over the desired range of photon energies with theavailable illumination, such as to obtain an absorption spectrum or tomeasure refractive index dispersion; for example, the number of modesdepends on the distance between reflection surfaces bounding the cavity.

The operation in box 602 then attaches the two partial structures,optionally with reference fluid (liquid or gas) in each referencecontainer, if any. Reference fluid filling could be implemented in manydifferent ways, including, for example, filling each reference containerbefore attaching the partial structures or, alternatively, attaching thepartial structures and then inserting fluid into each referencecontainer, such as through a needle, after which an appropriateoperation could be performed to ensure the reference container issealed. The reference fluid can be water, as mentioned above, or anyother appropriate fluid with a known refractive index. Due to possibledifficulties with reference fluid filling, use of an appropriatereference solid or semi-solid in each reference container might beadvantageous. The operation in box 602 can also include forming asuitable bond between the two partial structures so that they are firmlyattached to each other.

The operation in box 604 then attaches the filter assemblies for theanalyte and non-analyte containers and any other additional componentsnecessary to complete the product. For example, if the product isimplemented as in FIG. 10, pumping devices must be attached by theoperation in box 604. Similarly, if implemented as in FIG. 12 or 13,detector 436 or detector 466 must be attached by the operation in box604. Or, if implemented as in FIG. 13 or 14, light source 468 or lightsource 480 must be attached to the product by the operation in box 604.Or, if implemented as in FIG. 15, reflection component 506 must beattached to the product by the operation in box 604. The operation inbox 604 can also include any other internal or external electrical,optical, or fluidic connections necessary for operation of the product,such as connections to coupling circuitry as in FIG. 8, or,alternatively, such connections could later be made at the time theproduct is implanted.

The choice of a detector can be based on several constraints. Forexample, if intensities are sensed as wavelength is scanned, asmentioned above, simple discrete photosensors could be used. For broaderband illumination, if intensity peaks of a small number of modes arephotosensed to detect changes in central energy or position, amplitude,contrast, and FWHM, it may be possible to use a respectiveone-dimensional photosensing array for each optical cavity, with eacharray including a relatively small number of cells, reducing theelectrical power requirement because less power is dissipated in thedetector. In general, compactness is promoted by using a photosensingIC, as described in U.S. Pat. No. 7,471,399 and incorporated byreference herein in its entirety.

The operation in box 606 can be performed at any appropriate time afterthe product is operable, as suggested by the dashed line from box 604 tobox 606, and may not be necessary if self-calibration as described aboveprovides satisfactory results. The operation in box 606 performscalibration, which requires appropriate electrical and opticaloperations, which may require connections of circuitry. In any case,calibration in box 606 can include obtaining items of data or datastructures to be used in obtaining analyte information as describedherein, and the data or data structures can be stored in memory 246 aspart of calibration data 276 (FIG. 5), or, in appropriate cases, can beembedded in analyte information routine 274 or stored in anotherappropriate form. In particular, the operation in box 606 can includeoperations that produce one or more calibration tables or referencecurves for the reference fluid, such as under different temperatures orother environmental conditions.

Finally, the operation in box 608 implants the resulting product in abody, such as in a human body, to monitor an analyte such as glucose. Ifthe product is sufficiently small, implantation can be performed simplyby pushing the product through the skin into an appropriate part of thebody in which the analyte and non-analyte containers will be filled withblood, lymph, interstitial fluid, or other bodily fluid.

In general, the operations in any of boxes 600, 602, 604, 606, and 608can include additional activities. For example, at any appropriate pointin production of the product, electrical or optical connections can bemade so that signals can be provided as necessary. Similarly,connections can be made at any appropriate time to provide electricalpower.

The technique of FIG. 22 could be modified in many ways within the scopeof the invention. For example, the operations in boxes 600, 602, and 604could be combined in any appropriate way to facilitate attachment ofcomponents in a desired sequence. Furthermore, the technique of FIG. 22is extremely general, and could be employed to produce a wide variety ofdifferent products that can be implanted within a body to obtaininformation about analytes in bodily fluids.

The implementations described above could be applied in many ways, butan especially important area of application is in continuous or frequentmonitoring of glucose concentration as is needed for diabetes managementand reduction of complications. Fast, precise, and constant or evencontinuous glucose monitoring would help ensure detection of episodes ofhyper- and hypoglycemia. Current techniques, such as finger-sticking toobtain a blood sample and use of implantable devices withelectrochemical measurement, have various difficulties that might beovercome with a compact optical device.

The implementations described above are consistent with a compact,minimally invasive, disposable product that could be implanted to allowoptical measurement of glucose concentration in a small volume of bodilyfluid. Such a product could be designed to last an appropriate length oftime before it must be replaced; durations of at least two weeks arebelieved to be achievable with low power consumption measures. It isalso believed possible to produce such products at a sufficiently lowcost to make disposable versions feasible.

In using such a product, a defined characterization volume of the bodilyfluid would be positioned in each of an analyte container and anon-analyte container, each in a respective optical cavity. If areference container is also provided in a respective optical cavity, itmight also be possible to perform continuous self-calibration with areference fluid under the same environmental conditions and enhancedsensitivity and specificity, offering the possibility of furtherreducing or eliminating the effect of tissue and skin perturbations onmeasurements.

As described above, features of intensity peaks of an optical cavity'smodes can provide information about several optical characteristics ofglucose, including absorption spectrum, refractive index dispersion,either or both of which can be measured at discrete sampling points ofthe energy spectrum. Precise information, such as about central energy,amplitude, contrast, and FWHM of an intensity peak, can be obtained foreach sampling point with a chip-size detector, as described in U.S. Pat.No. 7,471,399 and incorporated by reference herein in its entirety. Theinformation could be obtained in digital form, allowing data processing,which can obtain information with adequate sensitivity and specificitywith improved signal-to-noise ratio. In addition to self-calibrationusing reference fluid as mentioned above, photosensed quantities andsensing results could be adjusted in various other ways, such as withcontrast-based adjustment, such as by measuring a peak-to-valley ratioto obtain the finesse, which is a measure of absorption for a givenFabry-Perot etalon; other contrast-based adjustment techniques aredescribed in U.S. Pat. No. 7,502,123 and incorporated herein byreference in its entirety.

With data processing techniques that provide sufficient sensitivity,concurrently obtaining the absorption spectrum and refractive indexdispersion in the near infrared range, at wavelengths betweenapproximately 2.1-2.5 μm, may assist in determining glucoseconcentration. Refractive index information contains absorptioninformation from other spectral ranges, in accordance with theKramers-Kronig relation, and therefore can provide additionalinformation on glucose concentration in a multiple signal analysis.Multiple signal analysis could be extended by measuring in multiplewavelength ranges, especially in spectral bands that provide keyinformation on glucose level. It may be possible to perform additionalcharacterization techniques using the same implantable product, such asoptical polarimetry and fluorescence. Information could also be usedfrom electrical techniques such as conductivity or capacitancemeasurement.

Some of the implementations described above in relation to FIGS. 1-22are examples of implantable articles that include first and secondparts, each including a container and being operable as an opticalcavity. An optical spectrum characteristic of the cavity can be affectedby presence of spectrum-affecting objects in each container, and eachcontainer can have a set of bounding regions through which objects inbodily fluid can transfer between its interior and exterior whenimplanted in a body. The article can also include fluidic componentsthat control transfer of objects in bodily fluids through the boundingregions: one fluidic component can permit transfer of a first set ofspectrum-affecting objects into the first container at a more rapid ratethan other objects, while another can permit transfer of a second set ofsuch objects into the second container at a more rapid rate than otherobjects. The first and second sets can both include a shared subset,while the first set can include a non-shared subset that the second setdoes not include. Objects that are instances of an analyte type canpredominantly in this non-shared subset.

In specific implementations, the article can also include a third partthat is operable as a reference optical cavity, into whichspectrum-affecting objects in bodily fluid are not transferred duringoperation. The third part can be between the first and second parts,each of which can have filter assemblies on a non-optical side disposedaway from the other. Also, each of the first and second parts caninclude an unattached side, an attached side, and lateral surfacebetween its unattached and attached sides; each part's fluidic componentcan include a filter assembly that permits transfer through an areaequal to approximately 75% or more of the area of its lateral surface.

In further specific implementations, the fluidic components of the firstand second parts can each include a large molecule filter that preventstransfer of large molecules, while the second part's filter assembly canalso include a small molecule filter that permits transfer only of smallmolecules and/or a selective filter that permits transfer only of aselected set of molecule types. The selected filter can, for example, bean ionophore membrane.

In further specific implementations, the article can have an incidentlight surface to receive light in an incident direction from outside asurface region of a body, and the parts and the incident light surfacecan be configured so that each part can respond to the incident light byoperating as an optical cavity providing output light in transmission orreflection modes, indicating information about its contents. The articlecan also include a reflection component, configured so that it receivestransmission mode output light in the incident direction and reflects itin an exit direction toward the surface region of the body,approximately opposite the incident direction.

In further specific implementations, the article can include a lightsource that provides a light beam, and an optical cavity, that receivesand divides the light beam into partial beams that are provided to theparts. The light source can be a laser and the optical component cancollimate the light beam before dividing it and/or collimate the partiallight beams before providing them to the parts. The article can alsoinclude a light exit surface for each of the parts to provide outputlight, and the light exit surfaces can be aligned to provide the outputlight in approximately an exit direction.

In further specific implementations, each of the parts can includeinterface surfaces at which it receives input light and/or providesoutput light. The interface surfaces of each part can include an entrysurface and an exit surface, with the entry surfaces aligned to receivelight in an entry direction and the exit surfaces aligned to provide itin an exit direction. Each part can receive input light in any of arange or set of entry directions and can provide output light in any ofa range or set of exit directions; in a transmission mode, for example,each part's exit direction can be approximately the same as its entrydirection, while in a reflection mode, each parts exit direction can beapproximately opposite or oblique to its entry direction. Each part canprovide reflection mode output light through the same interface surfacethrough which it receives input light, and the parts' interfaces can bealigned or oblique to each other. The article can include a reflectioncomponent configured to receive incident light in an incident directiondifferent than the entry direction of the parts and/or to receivetransmission mode output light in the exit direction from the parts andprovide reflected output light in a different reflected direction; theincident direction and the reflected direction can be approximatelyperpendicular or approximately opposite.

In further specific implementations, each part can operate as aFabry-Perot cavity, and each can operate as a homogeneous opticalcavity, such as providing output light in one or more modes. Eachspectrum characteristic can be a feature with a central photon energy,and the spectrum-affecting objects can shift the central energy. Eachcharacteristic can be a transmission mode peak or a reflection modevalley.

Some of the implementations described in relation to FIGS. 1-22 alsoillustrate examples of a method that controls transfer of objects inbodily fluid between interior and exterior of containers implanted in abody. Each container is in part of an implantable article that isoperable as an optical cavity, and each container has a set of boundingregions through which objects in bodily fluid can transfer between itsexterior and interior. The method also operates the part of eachcontainer as an optical cavity to provide output light in which aspectrum characteristic is affected by presence of spectrum-affectingobjects or an optical spectrum feature is shifted by presence ofspectrum-shifting objects in the container. The method can permittransfer of a first set of spectrum-affecting or spectrum-shiftingobjects into the first container at a more rapid rate than otherobjects, and permit transfer of a second set into the second containerat a more rapid rate, with the sets including shared and non-sharedsubsets as above, with objects of an analyte type or set predominantlyin the non-shared subset and with output light from the containerstogether including information about objects of the analyte type or set.

In specific implementations, the shared subset includes electrolytesions and the shared subset can include predominantly molecules of a setof selected types, such as sodium chloride. The analyte can be glucose,and the method can photosense output light from the containers and usesensing results to obtain information about glucose concentration.Photosensing can be performed with a discrete detector of intensity ofeach container's output light. If the spectrum characteristic isshifted, the method can use the sensing results to obtain a shift valuefor each container and then use the shift values to obtain glucoseconcentrations. If the article has a third part operable as a referenceoptical cavity, as above, the method can obtain shift values for allthree containers, using the shift values for the second and thirdcontainers to obtain an absolute measurement and then using that withthe shift value for the first container to obtain glucose information.The second container's shift can indicate shift by a set of selectedelectrolyte types, such as sodium chloride, or the shared subset caninclude predominantly objects smaller than glucose.

In further specific implementations, the method can permit transfer of athird set of spectrum-affecting objects into each of the containers onlyat a slower rate than spectrum-affecting objects that are not in thirdset. A subset of the third set can be permitted to transfer only atnegligible rates or zero rates. The third set can include predominantlyobjects larger than objects in the non-shared subset, such as objectsweighing at least approximately 30 kDa.

The method can include a series of iterations, during each of which theparts are illuminated at a respective photon energy that is differentfor different iterations. A tunable laser can illuminate, and the methodcan change its energy between two consecutive iterations. Further,photosensing can be performed during each iteration to obtain anintensity value and the intensity value can be used to obtaininformation about the analyte.

In further specific implementations, the method can obtain optical-baseddata indicating information about each part's spectrum characteristicsand, for at least one container, electrical-based data indicatinginformation about electrical characteristics; the optical-based data andelectrical-based data can be used to obtain information about analytes.The electrical characteristic can be conductance, and AC capacitance canbe measured across a container.

Some of the implementations described above in relation to FIGS. 1-22are examples of implantable systems that include an optical subsystemand a fluidic subsystem. The optical subsystem system can include two ormore parts including first and second parts as described above. Thefluidic subsystem can control transfer of objects as described above.

Some of the implementations described above in relation to FIGS. 1-22also illustrate examples of a method of making an implantable product.The method produces an optical cavity structure that includes first andsecond parts, each operable as an optical cavity. In doing so, themethod produces the parts to each include a container with boundingregions through which objects in bodily fluid can transfer between thecontainer's interior and exterior when the product is implanted in abody. The method also produces each optical cavity so that, whenoperated as a cavity, it has a respective optical spectrumcharacteristic that can be affected by spectrum-affecting objects in thecontainer. The method attaches fluidic components to the parts, and thefluidic components control transfer of objects in bodily fluid throughthe bounding regions when the product is implanted. The first part'sfluidic component permits transfer of a first set of spectrum-affectingobjects into the first container at a more rapid rate than otherobjects, and the second fluidic component permits transfer of a secondset into the second container at a more rapid rate than other objects.The first and second sets both include a shared subset, while the firstset includes a non-shared subset. Objects that are instances of ananalyte are predominantly in the non-shared subset.

The implementations in FIGS. 1-22 illustrate various applications oftechniques as described above, including implantable articles thatinclude optical cavity structures with analyte, non-analyte, and, insome cases, reference containers. Fluidic components such as filterassemblies control transfer of objects in bodily fluids into analyte andnon-analyte containers. The articles can be implanted in bodies and usedto obtain information about an analyte such as glucose in bodily fluid,such as about its refractive index and absorption coefficient.

Techniques that use implantable products to obtain information aboutanalytes, as exemplified by the implementations in FIGS. 1-22, can beapplied in various diagnostic and monitoring applications, in which acompact, inexpensive, disposable product would be highly desirable.Information about refractive index and absorption, for example, could beused to identify presence or concentration of glucose or another analyteindicating a disease condition.

Some of the techniques described above have been successfullyimplemented or simulated, including the production and operation of ahighly sensitive optical cavity structure that has analyte andnon-analyte containers, output light from which can be photosensed toobtain information about glucose concentration.

The exemplary implementations described above allow compact, inexpensiveimplantable products for selectively measuring glucose or anotheranalyte with great sensitivity. In general, the techniques can beimplemented using existing photosensors and light sources.

The exemplary implementations described above employ optical cavitieswith specific parameters and modes, but a wide variety of cavities couldbe used. For example, the above exemplary implementations generallyinvolve homogeneous cavities, but inhomogeneous cavities could be used.Cavities with widths in the range from a few microns to millimeters arefeasible, and output light ranging from the ultraviolet up to the farinfrared could be sampled.

Components of exemplary implementations as described above could havevarious shapes, dimensions, or other numerical or qualitativecharacteristics other than those illustrated and described above. Forexample, although square entry surfaces as described may be advantageousfor illumination and although and sizes around 1 mm are readilymanufacturable, optical cavities could have any suitable shapes anddimensions. Similarly, although the exemplary implementations generallyinvolve two or three containers, several implementations could readilybe modified to include one or more additional containers, with eachadditional container being for analyte, non-analyte, or reference; thecontainers could be arranged in a wide variety of ways, some of whichare shown or described above.

Some of the above exemplary implementations involve specific types offluidic components, light source components, and detectors, but theinvention could be implemented with a wide variety of other types ofcomponents. For example, filters described above select specific typesof objects or permit specific sizes of objects to transfer, but theinvention might be implemented with other fluidic components thatcontrol transfer of objects in bodily fluid into containers. Also, someexemplary implementations use current controlled VCSELs for illuminationacross a subrange of wavelengths, but many of types of light sourcescould be used in appropriate numbers and arrangements, tuned in variousways, and in various wavelength ranges. Further, some exemplaryimplementations use discrete photosensors, but various ICs withphotosensing arrays or even position-sensitive detectors (PSDs) might beused.

Some of the above exemplary implementations involve specific analytes,e.g. glucose, and specific types of other spectrum-affecting orspectrum-shifting objects, e.g. sodium chloride, found in specificbodily fluids, e.g. interstitial fluid, but these are merely exemplary.The invention could be implemented in relation to any appropriatespectrum-affecting or spectrum-shifting analytes and other objects, suchas other molecules or possibly even ions or other non-molecularentities, and for any bodily fluid, whether in a human or in a non-humananimal.

Some of the above exemplary implementations involve specific materials,such as in optical cavity structures and photosensing components, butthe invention could be implemented with a wide variety of materials andwith layered structures with various combinations of sublayers. Inparticular, optical cavity structures could be fabricated with anyappropriate techniques, including thin film technology such assputtering, e-beam or thermal evaporation with or without plasmaassistance, epitaxial growth, MBE, MOCVD, and so forth. To produce Braggmirrors, appropriate pairs of materials with low absorption coefficientsand large difference in refractive indices could be chosen, bearing inmind the photon energies of interest; exemplary materials includeSiO₂/TiO₂, SiO₂/Ta₂O₅, GaAs/AlAs, and GaAs/AlGaAs. Thicknesses of layerin optical cavity structures may vary from 30 nm up to a few hundrednanometers.

Some of the above exemplary implementations could involve particulartypes of optical cavity structures, such as Bragg mirrors and paireddistributed Bragg reflectors separated by a Fabry-Perot cavity, but,more generally, any appropriate optical cavity structure could be used.Various techniques could be used to produce optical cavity structures inaddition to those described above.

The exemplary implementation in FIGS. 5 and 7 employs a CPU, which couldbe a microprocessor or any other appropriate component. Furthermore, asnoted above, operations on photosensed quantities, such as to obtainshift values, other effect values, differential quantities, or valuesindicating glucose presence or concentration, could be performeddigitally or with analog signals, and could be done either on the sameIC as a photosensor array, on other components, or on a combination ofthe two, with any appropriate combination of software or hardware.

The above exemplary implementations generally involve production and/oruse of optical cavity structures, light sources, photosensors,processing circuitry, and control circuitry following particularoperations, but different operations could be performed, the order ofthe operations could be modified, and additional operations could beadded within the scope of the invention. For example, readout ofadjusted or unadjusted photosensed quantities from an IC could beperformed serially or in parallel, and could be performed cell-by-cellor in a streaming operation.

While the invention has been described in conjunction with specificexemplary implementations, it is evident to those skilled in the artthat many alternatives, modifications, and variations will be apparentin light of the foregoing description. Accordingly, the invention isintended to embrace all other such alternatives, modifications, andvariations that fall within the spirit and scope of the appended claims.

1. An implantable article comprising: first and second parts; each ofthe first and second parts including a respective container and beingoperable as an optical cavity with a respective optical spectrumcharacteristic that can be affected by presence of spectrum-affectingobjects in the container; the respective container having a respectiveset of one or more bounding regions through which objects in bodilyfluid can transfer between the container's interior and exterior whenthe article is implanted in a body; and first and second fluidiccomponents that control transfer of objects in bodily fluid through therespective bounding regions of the first and second parts, respectively;the first fluidic component permitting transfer of a first set of thespectrum-affecting objects into the first container at a more rapid ratethan spectrum-affecting objects not in the first set; the second fluidiccomponent permitting transfer of a second set of the spectrum-affectingobjects into the second container at a more rapid rate thanspectrum-affecting objects not in the second set; the first and secondsets of spectrum-affecting objects both including a shared subset; thefirst set including a non-shared subset that the second set does notinclude; objects that are instances of an analyte type beingpredominantly in the non-shared subset.
 2. The article of claim 1 inwhich the first and second parts include respective first and secondunattached sides disposed away from each other, respective first andsecond attached sides disposed toward each other, and respective firstand second lateral surfaces extending between the first and secondunattached and attached sides, respectively; the first and secondfluidic components including respective first and second filterassemblies, respectively, each permitting transfer through an area equalto approximately 75% or more of the area of the respective lateralsurface.
 3. The article of claim 1 in which the first and second fluidiccomponents include first and second filter assemblies, respectively,each including a respective large molecule filter that prevents transferof large molecules, the second filter assembly further including atleast one of: a small molecule filter that permits transfer only ofsmall molecules; and a selective filter that permits transfer only of aset of selected types of molecules.
 4. The article of claim 1, furthercomprising: an incident light surface that, in operation when thearticle is implanted in a body, can receive incident light in anincident direction from outside a surface region of the body; each ofthe first and second parts and the incident light surface beingconfigured so that the part can respond to incident light in theincident direction by operating as an optical cavity providingrespective output light in one or more transmission and reflectionmodes, the output light indicating information about contents of thepart's container.
 5. The article of claim 4, further comprising: areflection component; the first and second parts and the reflectioncomponent being configured so that the reflection component can receivetransmission mode output light provided in the incident direction andreflect the transmission mode output light in an exit direction towardthe surface region of the body, the exit direction being approximatelyopposite the incident direction.
 6. The article of claim 1, furthercomprising: a light source that, in operation when the article isimplanted in a body, provides a light beam; and an optical componentthat receives and divides the light beam into partial beams and providesfirst and second partial beams to the first and second parts,respectively.
 7. The article of claim 6 in which the light source is alaser and the optical component further performs at least one of:collimating the light beam from the light source before dividing it intopartial light beams; and collimating the first and second partial beamsbefore providing them to the first and second parts.
 8. The article ofclaim 1 in which each of the first and second parts further includes:one or more respective interface surfaces at which the part can receiveinput light and/or provide output light when operating as an opticalcavity; each of the first and second parts, when operating as an opticalcavity, can receive input light through one of its interface surfaces inany of a set of respective entry directions and provide output lightthrough one of its interface surfaces in any of a set of respective exitdirections; in operation as an optical cavity in response to input lightat one of its set of entry directions, each part's exit direction beingone of: approximately the same as the entry direction; approximatelyopposite to the entry direction; and oblique to the entry direction. 9.The article of claim 8 in which, in response to input light in the entrydirection, each part's exit direction is approximately opposite oroblique to the entry direction; each of the first and second partsproviding reflection mode output light, receiving input light andproviding output light through the same one of its interface surfaces.10. The article of claim 9 in which the first and second parts haveinterface surfaces that are one of: aligned with each other; oblique toeach other.
 11. The article of claim 8 in which each of the first andsecond parts provides transmission mode output light; the articlefurther comprising: a reflection component; the first and second partsand the reflection component being configured so that at least one of:the reflection component receives incident light received in an incidentdirection and, in response, provides input light in the entry direction,the incident direction being different than the entry direction; and thereflection component receives transmission mode output light provided bythe first and second parts in the exit direction and, in response,provides reflected output light in an reflected direction different thanthe exit direction.
 12. An implantable article comprising: first andsecond parts; each of the first and second parts including a respectivecontainer and being operable as an optical cavity with a respectiveoptical spectrum characteristic that can be affected by presence ofspectrum-affecting objects in the container; the respective containerhaving a respective set of one or more bounding regions through whichobjects in bodily fluid can transfer between the container's interiorand exterior when the article is implanted in a body; first and secondfluidic components that control transfer of objects in bodily fluidthrough the respective bounding regions of the first and second parts,respectively; the first fluidic component permitting transfer of a firstset of the spectrum-affecting objects into the first container at a morerapid rate than spectrum-affecting objects not in the first set; thesecond fluidic component permitting transfer of a second set of thespectrum-affecting objects into the second container at a more rapidrate than spectrum-affecting objects not in the second set; the firstand second sets of spectrum-affecting objects both including a sharedsubset; the first set including a non-shared subset that the second setdoes not include; objects that are instances of an analyte type beingpredominantly in the non-shared subset; and a third part that isoperable as a reference optical cavity with a respective opticalspectrum characteristic; in operation, spectrum-affecting objects inbodily fluid not transferring into the third part.
 13. The article ofclaim 12 in which the third part is between the first and second parts;the first and second parts having respective first and secondnon-optical sides disposed away from each other; the first and secondfluidic components including filter assemblies at the first and secondnon-optical sides, respectively.
 14. A method comprising: controllingtransfer of objects in bodily fluid between interior and exterior of atleast two of a set of containers implanted in a body; each containerbeing in a respective part of an implantable article, the respectivepart being operable as an optical cavity; each of first and secondcontainers in the set having a respective set of one or more boundingregions through which objects in bodily fluid can transfer between thecontainer's exterior and interior; and operating the respective part ofeach of at least the first and second containers as an optical cavity toprovide output light in which a respective spectrum characteristic isaffected by presence of spectrum-affecting objects in the container; theact of controlling transfer of objects in bodily fluid comprising:permitting transfer of a first set of the spectrum-affecting objectsinto the first container through its respective set of bounding regionsat a more rapid rate than spectrum-affecting objects that are not in thefirst set; and permitting transfer of a second set of thespectrum-affecting objects into the second container through itsrespective set of bounding regions at a more rapid rate thanspectrum-affecting objects that are not in the second set; the first andsecond sets of spectrum-affecting objects both including a sharedsubset; the first set including a non-shared subset that the second setdoes not include; objects that are instances of an analyte type beingpredominantly in the non-shared subset; output light from the first andsecond containers together including information aboutspectrum-affecting objects of the analyte type.
 15. The method of claim14 in which the shared subset includes predominantly molecules of a setof selected types.
 16. The method of claim 15 in which the set ofselected types includes sodium chloride molecules.
 17. The method ofclaim 14 in which the analyte type is glucose molecules; the methodfurther comprising: photosensing output light from respective parts ofthe first and second containers and using sensing results to obtaininformation about glucose concentration in the bodily fluid.
 18. Themethod of claim 14 in which act of operating the respective part of eachof at least the first and second containers as an optical cavitycomprises a series of iterations, each iteration including: illuminatingthe respective parts of the first and second containers at a respectivephoton energy for the iteration; the respective photon energies of atleast two of the iterations being different from each other.
 19. Themethod of claim 18 in which the act of illuminating is performed with atunable laser, the tunable laser's photon energy changing between apreceding iteration and a following iteration.
 20. The method of claim14, further comprising: for each container, obtaining optical-based dataindicating information about the respective part's spectrumcharacteristic; for at least one container, obtaining electrical-baseddata indicating information about the respective part's electricalcharacteristic; and using the optical-based data and theelectrical-based data to obtain information about spectrum-affectingobjects of the analyte type.
 21. A method comprising: controllingtransfer of objects in bodily fluid between interior and exterior of atleast two of a set of containers implanted in a body; each containerbeing in a respective part of an implantable article, the respectivepart being operable as an optical cavity; each of first and secondcontainers in the set having a respective set of one or more boundingregions through which objects in bodily fluid can transfer between thecontainer's exterior and interior; operating the respective part of eachof at least the first and second containers as an optical cavity toprovide output light in which a respective spectrum characteristic isaffected by presence of spectrum-affecting objects in the container; theact of controlling transfer of objects in bodily fluid comprising:permitting transfer of a first set of the spectrum-affecting objectsinto the first container through its respective set of bounding regionsat a more rapid rate than spectrum-affecting objects that are not in thefirst set; and permitting transfer of a second set of thespectrum-affecting objects into the second container through itsrespective set of bounding regions at a more rapid rate thanspectrum-affecting objects that are not in the second set; photosensingoutput light from respective parts of the first and second containers;and using sensing results to obtain information about glucoseconcentration in the bodily fluid; the analyte type is glucosemolecules; the first and second sets of spectrum-affecting objects bothincluding a shared subset; the first set including a non-shared subsetthat the second set does not include; objects that are instances of ananalyte type being predominantly in the non-shared subset; output lightfrom the first and second containers together including informationabout spectrum-affecting objects of the analyte type; wherein theimplantable article further includes a third part operable as areference optical cavity with a respective spectrum characteristic; ineach of the parts, the respective spectrum characteristic being shiftedby spectrum-affecting objects; the act of photosensing output light fromthe first and second parts and using sensing result comprising:obtaining first, second, and third shift values for the first, second,and third containers, respectively; using the second and third shiftvalues to obtain an absolute measurement; and using the absolutemeasurement and the first shift value to obtain the information aboutglucose concentration.
 22. A method comprising: controlling transfer ofobjects in bodily fluid between interior and exterior of at least two ofa set of containers implanted in a body; each container being in arespective part of an implantable article, the respective part beingoperable as an optical cavity that provides output light; each of firstand second containers in the set of containers having a respective setof one or more bounding regions through which objects in bodily fluidcan transfer between the container's exterior and interior; andoperating the respective part of each of at least the first and secondcontainers to provide output light in which a respective opticalspectrum feature is shifted by presence of spectrum shifting objects inthe container; the act of controlling transfer of objects in bodilyfluid comprising: permitting transfer of a first set of thespectrum-shifting objects into the first container through itsrespective set of bounding regions at a more rapid rate thanspectrum-shifting objects that are not in the first set; and permittingtransfer of a second set of the spectrum-shifting objects into thesecond container through its respective set of bounding regions at amore rapid rate than spectrum-shifting objects that are not in thesecond set; the first and second sets of spectrum-shifting objects bothincluding a shared subset; the first set including a non-shared subsetthat the second set does not include; objects that are in an analyte setbeing predominantly in the non-shared subset; output light from thefirst and second containers together including information aboutspectrum-shifting objects in the analyte set.
 23. A method of making animplantable product, the method comprising: producing an optical cavitystructure that includes first and second optical cavity parts, eachoperable as an optical cavity; the act of producing the optical cavitystructure comprising: producing each of the first and second opticalcavity parts to include a respective container having a set of one ormore bounding regions through which objects in bodily fluid can transferbetween the container's interior and exterior when the product isimplanted in a body and, when operated as an optical cavity, to have arespective optical spectrum characteristic that can be affected bypresence of spectrum-affecting objects in the container; and attachingfirst and second fluidic components to the first and second parts,respectively; when the product is implanted in a body, the first andsecond fluidic components controlling transfer of objects in bodilyfluid through the respective bounding regions of the first and secondparts, respectively; the first fluidic component permitting transfer ofa first set of the spectrum-affecting objects into the first containerat a more rapid rate than spectrum-affecting objects not in the firstset; the second fluidic component permitting transfer of a second set ofthe spectrum-affecting objects into the second container at a more rapidrate than spectrum-affecting objects not in the second set; the firstand second sets of spectrum-affecting objects both including a sharedsubset; the first set including a non-shared subset that the second setdoes not include; objects that are instances of an analyte type beingpredominantly in the non-shared subset.